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By: George Wiley
Medicare is looking for misvalued imaging codes—and it has already found several for which it has reduced payment. Its efforts have dismayed radiologists. Facing more revenue losses from CMS and the private insurers that follow in the agency’s footprints, radiologists feel targeted and, as a specialty, misvalued themselves. Gary Dee, MD, treasurer of Midstate Radiology Associates, Inc (Wallingford, Connecticut), says, “I understand that Medicare has no money, but the private insurance companies are taking money out of my pocket and putting it in their pockets. It’s only going to their profit margins.” Since the beginning of 2011, Medicare’s imposition of a new bundled CPT® code on a combined CT exam of the abdomen and pelvis has severely decreased imaging-center revenues. Many...
Features
By: Karen Roberts
By the nature of their subspecialty, interventional radiologists are enamored of innovations that engender emerging minimally invasive therapies, and the 2011 annual meeting of the Society of...
Features
By: Cat Vasko
There is bad news and good news for radiology, when it comes to meeting meaningful-use requirements, according to Keith Dreyer, DO, PhD, vice chair of radiology computing and information sciences at...
Features
By: Felix Okhiria, MPA, MA, CCPO, CMPE, CPC, CHC
Medical billing is the process of translating a physician’s work into reimbursable language understood by governmental and private third-party payors. The billing process must start with the...
Features
By: Ian Gardiner, MD
Breast MRI has emerged as a powerful new tool in the fight against breast cancer. It has found wide acceptance in the past 10 years, and it appears to be one of the most rapidly growing medical...
Features
By: Cheryl Proval
When Radiology Business Journal was founded four years ago, it was with the understanding that IT represented not just the platform for image interpretation, exchange, and archiving, but also a...
Features
By: Cheryl Proval
In his preview¹ in Health Affairs of the impending data deluge scheduled to begin with the transition to ICD-10 on October 1, 2013, Harris Meyer explains that the international disease-...
Features
By: Cheryl Proval
The June 2011 MedPAC Report to the Congress1 has the undivided attention of the entire specialty, just days after its release—for good reason. Pages 27 through 59 detail the commission’s...
Features
By: Staff Writer
On June 7, 2011, at the Annual Summit of the RBMA in New Orleans, Louisiana, four CEOs and one senior leader—representing all five radiology benefit management (RBM) companies—participated in a...
Features
By: Ezequiel Silva III, MD
Radiology’s existing coding structure is undergoing a dramatic transformation, which is the product of numerous code screens being used by CMS and the RVS Update Committee to identify potentially...
Features
By: Curtis Kauffman-Pickelle
Editor Cheryl Proval and I had the privilege of moderating a very interesting and animated session at the recent RBMA meeting in New Orleans, Louisiana. It was a face-to-face panel discussion with...