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News You Need to Know Today
Imaging centers sue Anthem for $93M | Radiologists score NSA win | Strategic sites-of-service delivery
Tuesday, August 29, 2023
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Today's News and Trends

Another No Surprises Act win: Qualifying payment amount process was tilted in insurers’ favor, judge rules

“The ruling is a step toward an IDR process that is accessible, fair and efficient,” Jacqueline Bello, chair of the ACR Board of Chancellors, said Monday. 

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Another No Surprises Act win: Qualifying payment amount process was tilted in insurers’ favor, judge rules

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“The ruling is a step toward an IDR process that is accessible, fair and efficient,” Jacqueline Bello, chair of the ACR Board of Chancellors, said Monday. 
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Imaging centers, Bon Secours Mercy Health sue insurer Anthem BCBS seeking $93M

The payer has allegedly engaged in “slow pay and no pay tactics," resulting in an "enormous" volume of claims being denied or downgraded.

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Anthem
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Imaging centers, Bon Secours Mercy Health sue insurer Anthem BCBS seeking $93M

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Anthem
The payer has allegedly engaged in “slow pay and no pay tactics," resulting in an "enormous" volume of claims being denied or downgraded.
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Optimizing imaging sites of service could boost margins, amass thousands more in collections

An organization could add an additional $87,532 on one MRI machine or over $260,000 via CT each year through strategic site selection, experts estimated.

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Medicare money payment physician. The CardioVascular Coalition and Society for Cardiovascular Angiography and Interventions have both issued new statements highlighting their issues with the 2024 MPFS proposed rule. 
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Optimizing imaging sites of service could boost margins, amass thousands more in collections

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Medicare money payment physician. The CardioVascular Coalition and Society for Cardiovascular Angiography and Interventions have both issued new statements highlighting their issues with the 2024 MPFS proposed rule. 
An organization could add an additional $87,532 on one MRI machine or over $260,000 via CT each year through strategic site selection, experts estimated.
READ MORE >

In Other News

Former Mayo Clinic researcher gets 18 years in prison for supporting ISIS

The man vowed to conduct "lone wolf" attacks in support of the terrorist group ISIS.

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man in prison behind bars
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Former Mayo Clinic researcher gets 18 years in prison for supporting ISIS

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man in prison behind bars
The man vowed to conduct "lone wolf" attacks in support of the terrorist group ISIS.
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Florida doctor pleads guilty to role in conspiracy to control cancer resources

“The FBI will not stand by and allow those trusted with saving lives to manipulate the healthcare system for their own benefit," one agent said in a DOJ statement. 

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Former managers of a Tampa Florida-based radiology company Advanced Diagnostic Group (ADG) and its employee stock ownership plan (ESOP) retirement benefit manager GreatBanc Trust Co. will pay $19 million to settle a class action lawsuit. The suit alleges they allowed the ESOP’s value to be diverted to managers, directors and their shell companies and away from employee participants. money gavel court lawsuit legal judge judgement
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Florida doctor pleads guilty to role in conspiracy to control cancer resources

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Former managers of a Tampa Florida-based radiology company Advanced Diagnostic Group (ADG) and its employee stock ownership plan (ESOP) retirement benefit manager GreatBanc Trust Co. will pay $19 million to settle a class action lawsuit. The suit alleges they allowed the ESOP’s value to be diverted to managers, directors and their shell companies and away from employee participants. money gavel court lawsuit legal judge judgement
“The FBI will not stand by and allow those trusted with saving lives to manipulate the healthcare system for their own benefit," one agent said in a DOJ statement. 
READ MORE >

Intravascular imaging-guided PCI improves patient outcomes, new meta-analysis confirms

The ILUMIEN IV and OCTOBER trials helped illustrate that the benefits of intravascular ultrasound also are seen with optical coherence tomography. Both trials were included in the new meta-analysis presented at ESC Congress 2023.

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Example of intravascular ultrasound (IVUS) shown as part of the multimodality imaging capability on the Fujifilm CVIS.
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Intravascular imaging-guided PCI improves patient outcomes, new meta-analysis confirms

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Example of intravascular ultrasound (IVUS) shown as part of the multimodality imaging capability on the Fujifilm CVIS.
The ILUMIEN IV and OCTOBER trials helped illustrate that the benefits of intravascular ultrasound also are seen with optical coherence tomography. Both trials were included in the new meta-analysis presented at ESC Congress 2023.
READ MORE >

In Case You Missed It

Introducing MRI into clinical practice helps reduce the rate of unnecessary prostate biopsies

“We argue that the results could be replicated elsewhere if guidelines are followed and the urologist and MRI radiologist are dedicated,” researchers noted. 

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Introducing MRI into clinical practice helps reduce the rate of unnecessary prostate biopsies

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“We argue that the results could be replicated elsewhere if guidelines are followed and the urologist and MRI radiologist are dedicated,” researchers noted. 
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Virtual radiology consultation services could add value—but are patients interested?

Patients appeared to show little interest in the offering, presenting an "important quandary" for the specialty, according to a new study. 

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Telehealth can provide significant value when it comes to managing and monitoring patients with CVD or suspected CVD. A new scientific statement from the American Heart Association explores the latest details on this evolving treatment option. 
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Virtual radiology consultation services could add value—but are patients interested?

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Telehealth can provide significant value when it comes to managing and monitoring patients with CVD or suspected CVD. A new scientific statement from the American Heart Association explores the latest details on this evolving treatment option. 
Patients appeared to show little interest in the offering, presenting an "important quandary" for the specialty, according to a new study. 
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Some cancer patients may be able to skip the radiation after breast-conserving surgery

Skipping radiotherapy after breast-conserving surgery would mean patients get to avoid the side effects linked to radiation exposure. 

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breast cancer mammography mammogram
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Some cancer patients may be able to skip the radiation after breast-conserving surgery

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breast cancer mammography mammogram
Skipping radiotherapy after breast-conserving surgery would mean patients get to avoid the side effects linked to radiation exposure. 
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