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.

Imaging center operator Akumin announces CEO’s departure following board of directors vote

After closing its purchase of Alliance Healthcare, the company had deployed two chief executives, but ended the arrangement March 18.

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Radiology Partners’ revenues reach more than $2B, a 13-fold increase in five years

Rad Partners has “aggressively” acquired imaging groups in recent years, leaving the company highly leveraged, S&P Global analysts reported. 

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‘Deeply troubled’: Doc groups blast MedPAC call for zero physician services pay update in 2023

Congress has provided billions in relief during the public health emergency, and patient volumes continue to rebound, the commission contended. 

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ACR among dozens of doc groups urging feds to forgo looming Medicare cuts

Congress paused planned sequester cuts for the first three months of 2022, but they'll starting hitting docs on April 1, imaging advocates noted. 

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Study unearths low compliance and high outpatient imaging price variability at children’s hospitals

An MRI of the brain, for instance, could run for $1,693, a more than sevenfold difference from Medicare’s $230 rate.

CT scan showing lung cancer nodules with measurements of each nodule to track growth or regression from treatment. Image courtesy of RSNA

ACR outlines changes in Medicare lung cancer screening coverage

The American College of Radiology recently released a detailed summary of the National Coverage Determination related to screening for lung cancer with low dose CT.

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'Major victory': Texas physicians score key court win in national fight over surprise billing ban

Radiologists praised the ruling while AHIP, the nation's largest health insurance lobbying group, called it "misguided." 

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Lawsuit targets hospital system’s ‘astonishingly high’ charges for CT imaging and other care

Vidant Health has allegedly hid prices from patients, allowing it to overcharge for computed tomography exams and other common procedures, attorneys charged.

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.