Richard E. Heller, MD, MBA, the company's associate CMO for health policy and communications, detailed his thoughts in a recently published editorial.

The nation's largest insurer reportedly breached its contract with the PE-backed multispecialty group by “unilaterally reducing reimbursement rates.” 

Between 2003 and 2022, PE platform companies poured money into 724 oncology clinics, or about 10% of all locations.

The Nanox.ARC utilizes novel, cold-cathode X-ray tubes and charges physicians using a “pay per scan” business model. 

The specialty’s $329,080 average salary placed it behind four other medical specialties, along with “athletes and sports competitors," according to the Department of Labor.

ACR is urging providers who encounter such denials to contact their local Medicare Administrative Contractor and consults related CMS documents. 

Prenuvo just opened its first imaging center in New York City and is aiming to double its number of locations by the end of 2023.

Starting in May, the health insurer will require the submission of medical office notes when docs seek payment in certain scenarios.