Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

wyoming capitol building cheyenne

Attorneys seek injunction forcing governor to restore radiologist’s role on state medical board

The Liberty Justice Center filed the motion on Tuesday in its ongoing lawsuit against Wyoming's Republican Gov. Mark Gordon. 

New York Governor Kathy Hochul

New York governor signs bill to expand coverage for breast imaging

The legislation changes state insurance laws to require individual, group and nonprofit health plans to reimburse for both screening and diagnostic imaging. 

Gavin Newsom

Governor vetoes bill to increase scrutiny of private equity physician practice purchases

The bill would have given the state attorney general power to impose conditions on the acquisition of radiology groups or other healthcare entities. 

congress money medicare washington DC senate house

Physician lawmakers urge Congress to pass Medicare pay fix before year’s end

Specialty societies such as the American College of Radiology are asking lawmakers to reform the federal payment program to end years of negative updates. 

Supreme Court of North Carolina

State Supreme Court set to weigh in on radiology certificate-of-need battle

Pinnacle Health Services and Duke are arguing in court over their ability to add additional MRI services in Wake County, North Carolina. 

money maze payment reimbursement

Strategic Radiology shares concern about inconsistencies in MAC payment determinations

Providers have reported issues with one Medicare Administrative Contractor covering PET scans, for example, with reimbursement falling significantly below the expense. 

nonclinical augmented intelligence american medical association

Radiology societies advocate for CPT code changes

ACR and others did so as part of the recently held 2024 September American Medical Association CPT Editorial Panel meeting. 

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American College of Radiology strongly opposes 1 aspect of new HHS info-blocking rule

On Aug. 5, the Health and Human Services Office of the National Coordinator released the proposed rule, amending regulations issued under the 21st Century Cures Act. 

Around the web

After reviewing years of data from its clinic, one institution discovered that issues with implant data integrity frequently put patients at risk. 

Prior to the final proposal’s release, the American College of Radiology reached out to CMS to offer its recommendations on payment rates for five out of the six the new codes.

“Before these CPT codes there was no real acknowledgment of the additional burden borne by the providers who accepted these patients."

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