CMS speeds up radiologist payment to calm cash flow concerns during pandemic

The Centers for Medicare and Medicaid Services announced Saturday that it’s accelerating payment to radiologists and other physicians to help lessen financial hardship during the COVID-19 pandemic.

In its announcement, officials noted that providers have experienced “significant disruption” in recent weeks, including delayed nonurgent imaging, staffers stranded at home to care for children, and disrupted billing cycles. CMS said it wants to get funding to physicians faster so they can focus on patient care.

“With our nation’s healthcare providers on the front lines in the fight against COVID-19, dollars and cents shouldn’t be adding to their worries,” CMS Administrator Seema Verma said in a statement. “Unfortunately, the major disruptions to the healthcare system caused by COVID-19 are a significant financial burden on providers. Today’s action will ensure that they have the resources they need to maintain their all-important focus on patient care during the pandemic.”

The advanced and accelerated payment offering applies to all docs in Medicare Part A and B, and is part of the CARES Act signed by the president Friday. To be eligible, radiologists need to have billed a Medicare claim in the last 180 days, and cannot be in bankruptcy, nor under review by CMS for misusing the federal payment program. The agency said it’s accepting physicians’ requests immediately and expects to issue payment within seven calendar days of receiving each submission.

In a corresponding fact sheet, CMS said the accelerated payment program will last through the duration of the COVID-19 public health emergency.

Marty Stempniak

Marty Stempniak has covered healthcare since 2012, with his byline appearing in the American Hospital Association's member magazine, Modern Healthcare and McKnight's. Prior to that, he wrote about village government and local business for his hometown newspaper in Oak Park, Illinois. He won a Peter Lisagor and Gold EXCEL awards in 2017 for his coverage of the opioid epidemic. 

Around the web

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.