Practice management involves overseeing all business aspects of a medical practice including financials, human resources, information technology, compliance, marketing and operations.
Cardiology faces one of its most challenging decades ahead, with mounting pressures from workforce shortages, an aging population and declining reimbursements. To remain sustainable, practices are forced to rethink how care is delivered from the ground up.
Effective Feb. 1, Blue Cross Blue Shield of North Carolina is no longer issuing separate payment for 3D rendering of imaging services (covered by CPT codes 76376 and 76377).
Cancer is by far the most commonly overlooked diagnosis at 45%, followed by infections (14%), vascular issues (7%) and cardiac concerns, according to new research.
Experts believe this new research offers important insights as practices adopt artificial intelligence in breast imaging, often with an extra out-of-pocket fee.
Researchers recently examined the benefit of these consultations, conducting a randomized clinical trial incorporating explanatory videos about IR procedures.
"Eliminating this flexibility would significantly reduce outpatient imaging capacity, forcing many patients to seek services in hospital-based settings," the RBMA contends.
UPDATED: “These high numbers highlight the disconnect between the two sides as they debate what constitutes a reasonable payment for OON services,” experts write in Health Affairs.
“Unlike [prior authorization], this model does not delay patient care and does not hold members liable to pay for unneeded exams,” writes radiologist Mark Hiatt, MD, MBA.
“Given recent Centers for Medicare and Medicaid Services coverage of CTC for CRC screening, this study and its conclusions are more important than ever,” experts write.
Andover, Mass.-based Commonwealth Radiology Associates is teaming with Heywood Healthcare, an independent, community-owned hospital group, to deliver imaging services.