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.

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Cardiology societies want to help Congress reform Medicare

Multiple cardiology societies, including the ACC, ASE and SCAI, want to work with Congress to update Medicare payment policies. 

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American Heart Association supports new ‘surprise billing’ legislation, but physician groups have serious doubts

According to the AHA, the No Surprises Act will "make a truly meaningful difference" to millions of patients. Physicians, on the other hand, have shared significant concerns about the legislation. 

money maze payment reimbursement

CMS finalizes 2022 Medicare Physician Fee Schedule—payments to cardiologists take a hit

Also, penalties for failing to comply with the Appropriate Use Criteria program have been delayed yet again. 

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Cardiologists oppose 2 key CMS proposals, warn of ‘unintended consequences’

The American College of Cardiology has published a thorough analysis of the proposed 2022 Medicare Physician Fee Schedule, making many recommendations and comments related to the future of patient care. 

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Cardiologists urge CMS to reconsider MPFS changes that could ‘jeopardize the delivery of care’

The American College of Cardiology and Society for Cardiovascular Angiography (SCAI) and Interventions are just two of the medical societies concerned about this proposal. 

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Women in cardiology receive less money from CMS, submit fewer charges

More research is still needed to find out why these differences exist, but the authors did offer some possible explanations. 

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Interventional cardiologists back prior authorization bill, call current policies ‘costly' and ‘time consuming’

The Society for Cardiovascular Angiography and Interventions is the latest industry organization to show its support of the new legislation. 

Around the web

GE HealthCare said the price of iodine contrast increased by more than 200% between 2017 to 2023. Will new Chinese tariffs drive costs even higher?

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.