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.

Large peridevice leaks after left atrial appendage occlusion (LAAO) are incredibly rare and not associated with a greater risk of adverse outcomes, according to new research published in JACC: Clinical Electrophysiology.[1] Smaller residual links are more common, however, and associated with a risk of thromboembolic and bleeding events.

CV societies ‘very concerned’ about proposed coverage changes for MR therapy

The American College of Cardiology, Society of Thoracic Surgeons, American Association for Thoracic Surgery and Society for Cardiovascular Angiography and Interventions all collaborated on the response. 

July 31, 2020
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Wearables & Workflow: How One Practice Is Hurdling Time, Liability & Billing

Sanjaya Gupta, MD, MBA, details how his practice is leverage wearables as a patient engagement tool.

July 11, 2019

Cardiologist found guilty of billing insurers $13M for needless angina treatments

An eight-day trial and two-hour jury deliberation has culminated in the conviction of Pennsylvania cardiologist Samirkumar J. Shah, who on June 14 was found guilty of two counts of healthcare fraud for falsely billing insurers for unnecessary angina treatments.

June 17, 2019

Heart attack patient’s $227K balance highlights inconsistent billing practices

A woman who was on the hook for nearly $227,000 in medical bills after suffering a heart attack and other complications had her balance wiped out by a medical charity waiver, Kaiser Health News reported. But that didn’t save Debbie Moehnke and her husband, Larry, the stress of mounting medical bills and calls from debt collectors, and the story highlights how inconsistent billing practices could impact other patients.

March 22, 2019
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RVUs vs. TVUs: Are Time Value Units a Fairer Way to Measure Productivity?

As healthcare shifts from fee-for-service to value-based payment models, practices are experimenting with different ways to measure physicians’ contributions to their practices. Will time value units (TVUs) one day replace relative value units (RVUs)?

July 16, 2018

Washington cardiologist settles overbilling allegations for $300,000

Romeo Pavlic, MD, a cardiologist from Spokane, Washington, agreed to pay $300,000 to settle a lawsuit alleging he overbilled Medicare and Medicaid patients, the Spokesman-Review reports.

March 16, 2017

Coding for Clarity: Echocardiography Gains Two New CPT Add-On Codes

The approval of two new Current Procedural Terminology (CPT) codes acknowledges echocardiographic myocardial strain imaging and myocardial contrast perfusion echocardiography as emerging technologies, often a necessary step before a code is promoted to payable status.

January 31, 2017

Health system agrees to pay nearly $1 million for cardiologist’s alleged improper Medicare billing

A health system in Philadelphia agreed to pay nearly $1 million to resolve allegations that a cardiologist improperly billed Medicare for unnecessary services, Philadelphia Business Journal reports.

November 8, 2016

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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