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.

Why the business side of cardiology was a key focus at ACC.24
Alison Bailey, MD, co-chair of the business of cardiology sessions at ACC.24, emphasized that reimbursement cuts can have a long-term negative impact on patient.
New ACC President Cathie Biga wants to improve quality reporting in cardiology
Biga, who originally trained as a nurse, specializes in the business side of cardiology. She also emphasized the increasing importance of AI and other new technologies.
New Jersey cardiologist faces up to 10 years in prison for $1.9M fraud scheme
The doctor, 76, admitted to billing multiple insurance providers for office visits that never happened at all.
Cardiologist salary update: Compensation jumps to $525K per year, No. 3 among all specialties
In addition, cardiologists average an additional $75,000 per year in incentive-based bonuses. That number is only higher for two other specialties.
Critics call out ‘woefully inadequate’ CMS proposal for inpatient Medicare payments
CMS has issued its proposed rule for the 2025 Medicare hospital inpatient prospective payment system, suggesting a payment increase of 2.6%. According to the American Hospital Association, this update would not be enough at a time when hospitals are already struggling to stay open.

Video of ASE lobbyists explaining issues with Medicare funding policy reform in Washington DC.

Key government policies impacting cardiac ultrasound

Two experienced lobbyists who represent the American Society of Echocardiography detailed some of the biggest issues they are working on in Washington.

August 21, 2023

Video of American Society of Echocardiography (ASE) leadership explaining how the society recognized early the need for standardization and training for on and stepped forward to offer training for various point of care ultrasound (POCUS) users and to bring them into its membership. Image shows a critical care COVID patient being scanned with a Philips Lumify point-of-care ultrasound system with doctors on screen helping guide the user. #POCUS #ASE #ASE2023

ASE training clinicians as point-of-care ultrasound grows

The American Society of Echocardiography recognized the lack of training and standardization for point-of-care ultrasound users and decided to do something about it.

July 12, 2023

Stephen Little, MD, discusses trends in echocardiography at ASE 2023. #ASE23 #ASE2023 What is new in cardiac ultrasound.

Back in the spotlight: Exploring echocardiography's revival

American Society of Echocardiography President Stephen Little, MD, says several trends and technologies are coming together at once, leading to renewed interest in echo.

July 10, 2023

The Society for Cardiovascular Angiography and Interventions (SCAI), American College of Cardiology (ACC) and Heart Rhythm Society (HRS) have asked the U.S. Centers for Medicare and Medicaid Services (CMS) to clarify a key detail related to the national coverage determination (NCD) for percutaneous left atrial appendage closure (LAAC).

Interventional cardiologists, electrophysiologists ask CMS to clarify policy after unexpected denials

Three cardiology societies have reached out to CMS with questions about how MACs are interpreting a policy related to shared decision-making.

July 6, 2023

Nearing a ‘breaking point’: Cardiologists support legislation designed to mitigate Medicare cuts to office-based services

These latest cuts could be a "breaking point" for physicians, according to a new letter to lawmakers.

June 2, 2023

Sam Jones, MD, explains why CMS reduced payments for EP ablation and how it will negatively impact electrophysiology. #HRS #HRS2023 #EPeeps #EPlab #Medicare

Making sense of the huge Medicare reimbursement cuts in electrophysiology

Samuel Jones, MD, examines the large reimbursement reductions in cardiac ablations and what the impact might be on access to care in EP labs.

May 31, 2023

Cardiologists, cardiac surgeons support new bill that could limit Medicare cuts

More than 100 U.S. medical societies—including the ACC, ASNC and others—have united in support of a new bill that would make a long-term impact on Medicare payments.

April 24, 2023

Society for Cardiovascular Angiography and Interventions (SCAI) is asking its interventional cardiologist members to take action to prevent further cuts in Medicare payments in 2024 by contacting their Congressmen. There were substantial cuts in Centers for Medicare and Medicaid Services (CMS) payments to physicians in 2023 further cuts each year can only be prevented if Congress changes the laws for how CMS pays physicians.

SCAI blasts Medicare payment cuts to cardiology, asks members to take action

The group hopes its members can increase congressional support of a new bill introduced in the House.

April 12, 2023

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Revenue & Reimbursement

Why the business side of cardiology was a key focus at ACC.24

New ACC President Cathie Biga wants to improve quality reporting in cardiology

New Jersey cardiologist faces up to 10 years in prison for $1.9M fraud scheme

Cardiologist salary update: Compensation jumps to $525K per year, No. 3 among all specialties

Critics call out ‘woefully inadequate’ CMS proposal for inpatient Medicare payments

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