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.

What radiology practices need to know about 2021 CPT coding changes

In particular, the code for low-dose lung cancer screening has been replaced, with financial implications for physicians. 

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American Medical Association releases new CPT codes to report COVID-19 vaccinations

AMA said it’s rolling out this info before any drug is available so that practices can prepare their EHRs ahead of time. 

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American College of Radiology proposes two new imaging-related CPT codes

If approved by the American Medical Association's editorial panel, one revision could go into effect as soon as July 1. 

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What it Takes to Walk the Talk on Value

Medical practices are increasingly pressured to showcase the details of their contribution to medicine. But radiology isn’t like most other medical specialties, is it?

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Anthem/AIM: Imaging programs can provide quality, affordable care to health-plan consumers

Here’s the thinking behind Anthem/AIM’s decision to steer certain advanced imaging procedures out of hospital settings.

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Explosive growth in ASC codes fuels opportunity

Since the introduction of the concept of an interventional radiology ambulatory surgery center (“irASC”) in 2016, there’s been an explosion in the number of billing codes that permit irASCs to collect for outpatient interventional procedures.

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Coding for Clarity: Echocardiography Gains Two New CPT Add-On Codes

The approval of two new Current Procedural Terminology (CPT) codes acknowledges echocardiographic myocardial strain imaging and myocardial contrast perfusion echocardiography as emerging technologies, often a necessary step before a code is promoted to payable status.

Society of Interventional Radiology offers recommendations to CMS on new payment rules

FAIRFAX, Va. (June 28, 2016)— The Society of Interventional Radiology (SIR) submitted comments to the Centers for Medicare and Medicaid Services (CMS) recommending changes to the April 27 Quality Payment Program proposed rule. 

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.