Policy

Practice leaders are aware that the Affordable Care Act requires repayment of an overpayment within 60 days of identifying it and that retaining an overpayment may result in significant penalties under the False Claims Act.

While OP-10 is a useful quality metric for radiology, it contains some significant limitations, according to a recent study published by the Journal of the American College of Radiology.

Radiographs of the ankle, hip and knee getting coded as mammograms; a popular code-assist product failing right out of the gate and remaining troublesome months later; small billing companies shuttering their offices, leaving physician practices without any billing services at all. These are some of the scenarios reported in the wake of the Oct. 1, 2015, launch of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).

Countless healthcare providers of every type heaved a sigh of relief when CMS announced a one-year grace period following the Oct. 1, 2015, launch of ICD-10.

How do you lead change—even when you’re not in charge? The answer to that question is both simpler and subtler than one might think, and it’s readily applicable to radiologists, radiology business managers, radiology technologists and everyone else within the sphere of medical imaging.

It’s becoming more and more common in the U.S. for patients to seek help from radiologists without a physician referral. What should radiologists know before accepting any “self-referred” patients? 

A recent editorial from Kathleen E. Bachynski, MPH, for the New England Journal of Medicine examined how the American Academy of Pediatrics (AAP) has responded to the issue of injuries in youth and high school football. 

A new requirement from one of Hawaii’s largest insurers is causing headaches for physicians throughout the state. As of Dec. 1, 2015, the Hawaii Medical Service Association (HMSA) requires physicians to get prior authorization from a third party—National Imaging Associates—for all diagnostic imaging exams. 

According to a recent commentary published by Academic Radiology, it’s time to bid farewell to the initial “clinical year” U.S. radiology residents are required to complete before beginning their four-year diagnostic radiology residency. 

One of the most noteworthy moments of President Obama’s State of the Union address earlier this week was the announcement that Vice President Joe Biden would be leading the administration’s efforts toward its “moonshot” of curing cancer. 

The U.S. Preventive Services Task Force (USPSTF) published its final breast cancer screening recommendations this week, officially giving biennial mammograms for women ages 50 to 74 a “B” grade.

The American College of Radiology (ACR) published a letter to CMS acting administrator Andy Slavitt before the holidays, summarizing its thoughts on 14 different issues related to the imaging industry.