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Healthcare Economics & Policy


Hoping to gain fresh insight into imaging utilization trends, researchers used the Neiman Imaging Types of Service (NITOS) coding system to study Medicare B Physician Fee Schedule billing data from 1994 to 2013, publishing their results in the American Journal of Roentgenology.

CMS published the 2018 Medicare Physician Fee Schedule (MPFS) Final Rule in November, leaving healthcare providers with a lot to think about before the holiday season. Tom Greeson, a healthcare lawyer and partner with the firm of Reed Smith, spoke with Radiology Business about what radiologists and radiology practices need to know about the final rule as they make plans for 2018 and beyond.

How to Help Your Practice Make Objective, Informed Decisions on a Tight Budget  

The U.S. Food and Drug Administration (FDA) issued an Oct. 27 reminder that thermography is not an acceptable substitute for mammography.

If the past predicts the future, then radiology isn’t going to fare especially well in the MACRA era. Under Medicare’s last pay-for-reporting program, the Physician Quality and Reporting System (PQRS), most radiologists only minimally showed their work, researchers have found. Those who deal the same way with MACRA—the Medicare Access and CHIP Reauthorization Act—are setting themselves up for punitive payment adjustments.


Recent Headlines

RBMA Spring Summit Roundtable: Imaging and the IHN On May 22, “Imaging and Accountability: Imaging’s Role in the Integrated Health Network” was presented at the RBMA 2012 Radiology Summit in Orlando, Florida. This discussion has been excerpted from the statements of that panel, which was composed of a practice-president radiologist, a hospital president, an imaging-chain executive, and an industry
2012’s Top 20 Imaging-center Chains: Third Annual Report

Despite serious reimbursement pressure, the imaging-center market appears to be on the move again, adding 131 sites as of the first quarter of 2012. While this year’s expansion does not approach the tremendous growth rates of the period between 2000 and 2008, when the market more than doubled (from 3,068 centers to 6,431), it does return the sector

Why Radiologists Should Tweet, Blog, and Exploit Social Media

Since the passage of the DRA, and through subsequent hits to reimbursement for imaging, one question has been perennial in the radiology community: How can radiologists raise their profile with patients without sacrificing productivity (or profitability)? John A. Patti, MD, chair of the ACR® board of chancellors, suggests that radiologists should

ACE: Adventures in Bundled Payment With a bundled-payment pilot program instituted by the Patient Protection and Affordable Care Act set to begin in 2013, it is interesting (and perhaps instructive) to look at a three-year CMS project nearing its endpoint—the Acute Care Episode (ACE) Demonstration1 for orthopedic and cardiovascular surgery—through the eyes of one participating
Price Disparity + Price Transparency=Imaging-market Turmoil

Buy a banana, and it will cost you less than a dollar per pound—unless you’re in a hotel, where it might cost you twice the grocery-store price. The prices of many items readily obtainable by the consumer usually fall within a well-defined range, according to supply and demand. This is not so in health care (in general) and in medical imaging

Preparing for ICD-10

October 1, 2013, ushers in a new era in coding. That is when health-care providers in all categories will be required to submit claims to CMS using the new ICD-10 codes. These codes must be used for all HIPAA transactions, including outpatient claims with dates of service—as well as on inpatient claims with dates of discharge—on and after October 1

2011’s Top 20 Imaging-center Chains: Second Annual Report

The growth of imaging-center chains was flat last year as owners absorbed a new round of reimbursement cuts in the form of higher equipment-usage rates and multiple-procedure payment discounts. Independent-chain owners primarily held their own or shed centers—and despite reports of hospital buying sprees, the chill extended to the country’s largest

A Case Inquiry:Can RFID Help Reduce Costs in Medical Imaging?

An exploration of the use of RFID technology to manage contrast inventory in the hospital setting identified potential cost savings, as well as implications for patient safety, inventory management, and billing