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. 

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Radiologists want nuance in how CMS calculates physician practices’ administrative and overhead costs

Previous data underrepresented office-based physicians, and that’s led to some “dramatic undercalculation” of practice expenses, advocates argued recently. 

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Surprise billing ban rollout must match congressional intent, ACR and bipartisan lawmakers urge feds

Members of the U.S. House urged new Health and Human Services Secretary Xavier Becerra while implementing these "landmark patient protections."

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Radiologist dodges malpractice death suit after mistaking diagnostic mammogram for routine screening

Appeals judges believed physician Kenneth Blumberg’s duty of care did not extend beyond interpreting and reporting on the images sent to him.

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Interventional radiology chain under DOJ investigation for allegedly pushing unnecessary treatments

Modern Vascular has reportedly relied on referrals from physicians who are also investors in the company, according to a recently published report. 

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Radiologists and surgeons want CMS to eliminate ‘misguided’ payment barriers to lung cancer screening

Physician societies "strongly disagree" with criteria limiting LDCT screening to those who have quit smoking within 15 years.

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Docs recommend fixing peer-to-peer prior authorization reviews to rein in problem plaguing radiology

Oftentimes, the payer representative has little knowledge of the imaging exam or other treatment under review, physicians charged.

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UnitedHealthcare updates ‘onerous’ prior authorization process following ACR objections

The nation's largest commercial insurer recently started forcing physicians to jump through extra hoops before getting paid for certain outpatient services. 

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Under new legislation, Medicare would cover radiology assistants’ services in all settings

Absent passage of HR 3657, the profession is “in peril,” with RAs losing their jobs and left unable to practice to the full extent of their training, advocates said. 

Around the web

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.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.