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Hot topic: Top 10 POLICY stories of the past month

News You Need to Know Today
Hot topic: Top 10 POLICY stories of the past month
Friday, April 14, 2023
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Editor's Choice: Policy

Imaging center, partner hospital agree to pay $2M to settle False Claims Act case

Diagnostic Imaging Associates billed CMS for both service components, but the hospital was ineligible for reimbursement, the DOJ said.

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Imaging center, partner hospital agree to pay $2M to settle False Claims Act case

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Diagnostic Imaging Associates billed CMS for both service components, but the hospital was ineligible for reimbursement, the DOJ said.
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Family of deceased patient awarded $880,000 after radiologist misses broken neck on CT scan

A jury sided with the estate of 76-year-old Ohioan Ronald Nielson, who was sent home without immobilization to protect his injury. 

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A cardiology practice in Florida and several of its cardiologists have agreed to pay $2 million to resolve allegations that they violated the False Claims Act and committed fraud. As a part of the agreement, there has been no determination of liability.
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Family of deceased patient awarded $880,000 after radiologist misses broken neck on CT scan

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A cardiology practice in Florida and several of its cardiologists have agreed to pay $2 million to resolve allegations that they violated the False Claims Act and committed fraud. As a part of the agreement, there has been no determination of liability.
A jury sided with the estate of 76-year-old Ohioan Ronald Nielson, who was sent home without immobilization to protect his injury. 
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Rad Partners, Rayus Radiology and RadNet urge CMS to address ‘systemic threats’ to imaging access

Meanwhile, MedPAC has recommended a pay hike for physicians, drawing praise from the American Medical Association. 

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Money dollar investments
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Rad Partners, Rayus Radiology and RadNet urge CMS to address ‘systemic threats’ to imaging access

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Money dollar investments
Meanwhile, MedPAC has recommended a pay hike for physicians, drawing praise from the American Medical Association. 
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CMS finalizes reforms to address prior authorization problem that has plagued radiology

“People with Medicare deserve to ... be able to get the care they need without excessive burden or delays," the agency's deputy administrator said.

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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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CMS finalizes reforms to address prior authorization problem that has plagued radiology

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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. 
“People with Medicare deserve to ... be able to get the care they need without excessive burden or delays," the agency's deputy administrator said.
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Hospital to pay False Claims Act penalty for allegedly letting unsupervised residents interpret X-rays

University of Iowa Health Care also has agreed to mandate that physicians receive training on Medicare's requirements for reimbursement in a teaching setting. 

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overnight night shift attending radiologist burnout. A new policy statement from the American College of Cardiology highlights the importance of career flexibility—including the ability to change hours or work responsibilities when necessary—for cardiologists of all ages. 
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Hospital to pay False Claims Act penalty for allegedly letting unsupervised residents interpret X-rays

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overnight night shift attending radiologist burnout. A new policy statement from the American College of Cardiology highlights the importance of career flexibility—including the ability to change hours or work responsibilities when necessary—for cardiologists of all ages. 
University of Iowa Health Care also has agreed to mandate that physicians receive training on Medicare's requirements for reimbursement in a teaching setting. 
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American College of Radiology ‘deeply concerned’ by ruling striking down key ACA provision

Others such as the AMA and the American Lung Association similarly blasted the decision, which could jeopardize coverage for preventative care.

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Judge bangs gavel
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American College of Radiology ‘deeply concerned’ by ruling striking down key ACA provision

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Judge bangs gavel
Others such as the AMA and the American Lung Association similarly blasted the decision, which could jeopardize coverage for preventative care.
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CMS fully resumes dispute resolutions under No Surprises Act following pressure from radiologists

Delays in determinations were "harming members’ practices" by holding up payments for services, the ACR said. 

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The scales of justice coming out of a book
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CMS fully resumes dispute resolutions under No Surprises Act following pressure from radiologists

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The scales of justice coming out of a book
Delays in determinations were "harming members’ practices" by holding up payments for services, the ACR said. 
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Radiology business advocates implore Congress to remedy worsening physician shortages

ACR and RBMA want lawmakers to reintroduce the Resident Physician Shortage Reduction Act to begin addressing a growing deficit of docs.

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Congress dome capitol Washington
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Radiology business advocates implore Congress to remedy worsening physician shortages

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Congress dome capitol Washington
ACR and RBMA want lawmakers to reintroduce the Resident Physician Shortage Reduction Act to begin addressing a growing deficit of docs.
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Department of Justice drops bid to quash UnitedHealth-Change Healthcare merger

The DOJ first filed suit more than a year ago, arguing the $8B, all-cash deal would stifle competition in the claims-processing and health insurance marketplaces. 

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UnitedHealthcare UHC UnitedHealth
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Department of Justice drops bid to quash UnitedHealth-Change Healthcare merger

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UnitedHealthcare UHC UnitedHealth
The DOJ first filed suit more than a year ago, arguing the $8B, all-cash deal would stifle competition in the claims-processing and health insurance marketplaces. 
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Multispecialty physician groups oppose FTC proposal to ban noncompete clauses

Meanwhile, the commission called such agreements an “exploitative practice that suppresses wages, hampers innovation, and blocks entrepreneurs from starting new businesses."

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Contract
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Multispecialty physician groups oppose FTC proposal to ban noncompete clauses

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Contract
Meanwhile, the commission called such agreements an “exploitative practice that suppresses wages, hampers innovation, and blocks entrepreneurs from starting new businesses."
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