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News You Need to Know Today
Policy | September 2023: Court sides with rads | Authorities arrest IR | 'Unstoppable' doc | Judge denies Rad Partners request
Tuesday, September 5, 2023
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Editor's Choice: Policy

Federal court sides with radiologists, vacating 600% fee increase under No Surprises Act

RBMA called the decision “a significant victory for providers, especially within the field of radiology.” 

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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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Federal court sides with radiologists, vacating 600% fee increase under No Surprises Act

Share on Twitter Share on Facebook Share on Linkedin
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
RBMA called the decision “a significant victory for providers, especially within the field of radiology.” 
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Authorities arrest radiologist for alleged role in opioid prescription scheme

Arash Padidar, MD, is facing seven felony counts, including unlawful use of personal information and issuing prescriptions without a legitimate medical purpose. 

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Researchers found millions of heart failure patients who qualify for standard, guideline directed medical therapies, but did not receive it due to poor health literacy, limited access to care and medication costs.
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Authorities arrest radiologist for alleged role in opioid prescription scheme

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Researchers found millions of heart failure patients who qualify for standard, guideline directed medical therapies, but did not receive it due to poor health literacy, limited access to care and medication costs.
Arash Padidar, MD, is facing seven felony counts, including unlawful use of personal information and issuing prescriptions without a legitimate medical purpose. 
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‘Unstoppable’ radiologist keeps practicing despite millions in fines, mounting investigations

James McGuckin, MD, most recently made the news in May when the DOJ filed suit against him and his affiliated practices. 

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‘Unstoppable’ radiologist keeps practicing despite millions in fines, mounting investigations

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scales of justice
James McGuckin, MD, most recently made the news in May when the DOJ filed suit against him and his affiliated practices. 
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Lawmakers propose ‘gold card’ program that exempts physicians from prior authorization requirements

Experts said that radiologists, along with others who order imaging, stand to benefit from the bipartisan proposal. 

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gold card
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Lawmakers propose ‘gold card’ program that exempts physicians from prior authorization requirements

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gold card
Experts said that radiologists, along with others who order imaging, stand to benefit from the bipartisan proposal. 
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RBMA, ACR, RadNet and Rayus Radiology urge CMS to fix ‘burdensome’ reporting requirement

The groups are concerned that the rule could result in billing errors, inadvertent payment denials and slow claims processing. 

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files paperwork work load
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RBMA, ACR, RadNet and Rayus Radiology urge CMS to fix ‘burdensome’ reporting requirement

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files paperwork work load
The groups are concerned that the rule could result in billing errors, inadvertent payment denials and slow claims processing. 
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Featured Articles

Judge denies Radiology Partners’ initial request to resolve ‘bogus’ UnitedHealthcare lawsuit via arbitration

The nation's largest commercial insurer recently filed an amended complaint, claiming that RP perpetrated a billing scheme motivated by "pure greed."  

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Judge denies Radiology Partners’ initial request to resolve ‘bogus’ UnitedHealthcare lawsuit via arbitration

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The nation's largest commercial insurer recently filed an amended complaint, claiming that RP perpetrated a billing scheme motivated by "pure greed."  
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Fearing delays, American College of Radiology urges CMS not to leave PET payment decisions up to MACs

ACR is concerned such a scenario would result in delayed and highly variable coverage determinations across the U.S. 

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brain money alzheimer dementia
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Fearing delays, American College of Radiology urges CMS not to leave PET payment decisions up to MACs

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brain money alzheimer dementia
ACR is concerned such a scenario would result in delayed and highly variable coverage determinations across the U.S. 
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Referrer fails to order CT that could have caught man’s deadly lung cancer weeks earlier

An octogenarian visited the emergency department three times in August 2019 complaining of chest pain, with doctors instead diagnosing angina via X-ray. 

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Medical malpractice gavel diagnostic error mistake stethoscope
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Referrer fails to order CT that could have caught man’s deadly lung cancer weeks earlier

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Medical malpractice gavel diagnostic error mistake stethoscope
An octogenarian visited the emergency department three times in August 2019 complaining of chest pain, with doctors instead diagnosing angina via X-ray. 
READ MORE >

Google Health, radiology vendor seek regulatory approval of AI as independent mammography reader

"We hope to not only alleviate the increasing burdens on radiologists worldwide but also reduce disparities in healthcare," one Google AI leader said. 

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breast cancer mammography mammogram
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Google Health, radiology vendor seek regulatory approval of AI as independent mammography reader

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breast cancer mammography mammogram
"We hope to not only alleviate the increasing burdens on radiologists worldwide but also reduce disparities in healthcare," one Google AI leader said. 
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UnitedHealthcare eliminating prior authorization for more than 60 radiology services

Impacted procedures will include breast MRI with contrast, bone marrow imaging, gastroesophageal reflux studies and cardiac shunt detection, UHC said.

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UnitedHealthcare UHC UnitedHealth
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UnitedHealthcare eliminating prior authorization for more than 60 radiology services

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UnitedHealthcare UHC UnitedHealth
Impacted procedures will include breast MRI with contrast, bone marrow imaging, gastroesophageal reflux studies and cardiac shunt detection, UHC said.
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ACR shares concerns about specialty’s ‘struggle’ to participate in alternative payment models

Barriers to radiologists’ success in MIPS include their ineligibility to earn maximum incentive adjustments, despite perfect performance. 

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quality imaging appropriateness clinical decision support CAS AUC
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ACR shares concerns about specialty’s ‘struggle’ to participate in alternative payment models

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quality imaging appropriateness clinical decision support CAS AUC
Barriers to radiologists’ success in MIPS include their ineligibility to earn maximum incentive adjustments, despite perfect performance. 
READ MORE >

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