Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

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Former managers of a Tampa Florida-based radiology company Advanced Diagnostic Group (ADG) and its employee stock ownership plan (ESOP) retirement benefit manager GreatBanc Trust Co. will pay $19 million to settle a class action lawsuit. The suit alleges they allowed the ESOP’s value to be diverted to managers, directors and their shell companies and away from employee participants. money gavel court lawsuit legal judge judgement

Federal court sides with radiologists, vacating 600% fee increase under No Surprises Act

RBMA called the decision “a significant victory for providers, especially within the field of radiology.” 

August 4, 2023
quality imaging appropriateness clinical decision support CAS AUC

ACR shares concerns about specialty’s ‘struggle’ to participate in alternative payment models

Barriers to radiologists’ success in MIPS include their ineligibility to earn maximum incentive adjustments, despite perfect performance. 

August 4, 2023
files paperwork work load

RBMA, ACR, RadNet and Rayus Radiology urge CMS to fix ‘burdensome’ reporting requirement

The groups are concerned that the rule could result in billing errors, inadvertent payment denials and slow claims processing. 

August 2, 2023
colorectal cancer colon CTC CRC colonoscopy

CT should not be used to screen for colorectal cancer, American College of Physicians charges

Its decision drew concern from the radiology community, which has fought to increase awareness around this alternative to colonoscopy. 

July 31, 2023
gold card

Lawmakers propose ‘gold card’ program that exempts physicians from prior authorization requirements

Experts said that radiologists, along with others who order imaging, stand to benefit from the bipartisan proposal. 

July 31, 2023

Medicare spent upward of $3.8B on low-value imaging and cancer screenings in 1 year: MedPAC

“Imaging for nonspecific low back pain” was listed as the most frequently occurring low-value service, impacting upward of 9.3% of beneficiaries. 

July 31, 2023
Piggy Bank

ACR estimates diagnostic radiology will face 4% Medicare cut, absent congressional action

The college issued a detailed breakdown of the 2024 MPFS, offering insight into the “complex” formula for how much the specialty stands to lose. 

July 28, 2023

American College of Radiology opposes focus of US House bill aimed at increasing imaging price transparency

Rep. Mike Carey introduced the Imaging Services Price Transparency Act July 25, hoping to better inform patients about services provided by the specialty. 

July 27, 2023
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Around the web

Cardiovascular Business
Medicare drops AUC requirement for advanced imaging, ASNC celebrates

"This was an unneeded burden, which was solely adding to the administrative hassles of medicine," said American Society of Nuclear Cardiology President Larry Phillips.

Cardiovascular Business
Cardiology, radiology groups urge insurance provider to rethink imaging policy

SCAI and four other major healthcare organizations signed a joint letter in support of intravascular ultrasound. 

Cardiovascular Business
Radiology AI company gains FDA clearance for new CT offerings focused on PE, stroke

The newly approved AI models are designed to improve the detection of pulmonary embolisms and strokes in patients who undergo CT scans.

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