Revenue & Reimbursement

Healthcare reimbursement is payment that a hospital, diagnostic imaging facility, subspecialty department or healthcare providers receive for performing a service. This also includes individual radiologist or cardiologist reimbursement and billing and coding rules for submitting claims.

CMS expanding coverage for CT lung cancer screening, drawing imaging advocate praise

ACR and the Society of Thoracic Surgeons said they will work with the feds, medical providers and patients to implement new screening recommendations.

February 10, 2022
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What radiology providers need to know about 2022 CPT coding updates

The American Medical Association has added nearly 250 new Current Procedural Terminology codes this year, but only a select few impact imaging.

January 25, 2022

Providers predict radiology practice closures if CMS fails to fix Medicare fee schedule

Payments for some office-based services are slated to fall 20%, potentially devastating private groups, experts said recently. 

September 9, 2021
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‘Grave concern’: Radiologist reimbursement expected to plummet after CMS clinical labor wage update

The Society of Interventional Radiology said the proposed cuts represent a “perfect storm,” resulting from the feds’ failure to keep labor rates and product tables current with inflation.

August 16, 2021

American College of Radiology highlights imaging CPT code changes for 2022 and sooner

Two code additions for next year cover a new procedure—destruction of the intraosseous basivertebral nerve—that provides relief for certain back pain. 

May 6, 2021
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Radiologists ask Congress for $3B to offset looming cuts in Medicare Physician Fee Schedule

In a letter to lawmakers, 63 medical groups said the pandemic continues to challenge physician practices. 

April 29, 2021

Radiologists demand greater transparency from CMS in Merit-Based Incentive Payment System

Docs are “particularly concerned” that the dearth of data could be concealing issues with cost measures or benchmarks, 45 physician groups including the ACR wrote recently.

April 21, 2021

Prominent imaging groups push for first radiology-specific artificial intelligence CPT code

The Category 3 code proposal would cover AI analysis for the detection of vertebral fractures and could take effect as soon as Jan. 1, 2022. 

February 10, 2021

Around the web

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

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

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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