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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Structured Reporting: Boosting Patient Care, Refining Billing

Wolters Kluwer

Akron General Heart & Vascular Center is a leader in STEMI care in Northeast Ohio, each year besting the national average for STEMI mortality rates.

Billing code-based algorithm helps identify PAD cases

Researchers at the Mayo Clinic designed and validated an algorithm using billing codes that accurately identifies people with peripheral artery disease (PAD) in a community-based sample.

Judge refuses to accept deal in cardiac billing case

Federal District Judge Terrance Boyle refused to accept a deferred prosecution agreement between the U.S. Attorney for the Eastern District of North Carolina and WakeMed Health and Hospitals of Raleigh, N.C., on Jan. 17 that would allow WakeMed to settle criminal allegations of falsely billing Medicare for cardiac procedures.

The Back Page: Web-based Claims Clearinghouse Eases Billing & Coding Challenges

Cardiology practices have always faced fairly distinctive coding and billing challenges. Rapidly declining reimbursement for key servicesincluding nuclear medicine, cath labs and consultationsnow makes it imperative for cardiology practices to capture and collect every legitimate charge.

ACC: How to avoid cath lab billing & coding 'ruts'

Coding and documentation is often the chink in a facilitys armor. Issues such as improper documentation, overcoding and a lack of communication between coders and physicians can often steer facilities into a coding rut, said Linda Gates-Striby, CCS-P, compliance manager at the Care Group in Indianapolis, during a presentation Tuesday at the American College of Cardiology (ACC) scientific sessions.

Commentary: Health IT saves money for cardiology billing challenges

Cardiology practices have always faced distinctive coding and billing challenges. Today, rapidly declining reimbursement makes it imperative for practices to collect every legitimate charge, requiring the assistance health IT solutions.

Infinitt, Great Valley add billing capabilities to RIS/PACS

Infinitt North America, a developer of Web-based RIS, PACS and advanced visualization solutions, has formed a business partnership with Malvern, Pa.-based Great Valley Technologies to offer a RIS/PACS with integrated billing capabilities.

Example of a curved MPR image reconstruction of entire length of of a coronary artery on a cardiac CT scan to better show calcified and soft plaque burden inside the vessel. The thumbnail dots on the left side of the image are cross sectional views of the vessel. Siemens example on the expo floor.

The CCTA Playbook: A Guide to Coding, Reimbursement and Operations

A compendium of the business intelligence required to launch a CCTA service

Around the web

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.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.