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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New Jersey imaging provider sues Cigna over $400,000 in denied COVID-related claims

Open MRI Imaging said it submitted several invoices to the payer between February and July, but the insurer refused to pay, issuing “unelaborated denials” or contending that the bills were “duplicative.” 

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Quash ‘reckless’ Medicare cuts that could cost radiology billions, lawmakers urge Congress

Led by Rep. Bobby Rush, D-Ill., the bipartisan group of 92 House members want leaders to waive budget neutrality requirements tied to E/M codes. 

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County could cut $116M in spending on imaging, other services by steering patients toward cheaper options

That’s according to a recently released analysis out of the Pioneer Institute, a Boston-based think tank.

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ACR, numerous others urge Congress to keep surprise billing fix out of COVID relief package

Three radiology societies and groups representing "hundreds of thousands" of docs made their plea in a letter to congressional leaders. 

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Shifting payer mix due to COVID-19 putting pressure on radiology practice margins

With a pandemic-induced move toward Medicaid or other lower-paying reimbursement sources, providers must get creative, imaging experts advise. 

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Statute of limitations derails family’s malpractice claim against Florida radiologist, Mednax affiliate

Stacey Castro originally sued in 2015 claiming she received "negligent" medical care and changed the complaint last year to add her three minor children as co-parties in the suit.

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HHS officially extends COVID-19 public health emergency declaration

The American College of Radiology and other provider groups had advocated for the renewal, which has several implications for physicians.

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American College of Radiology ‘strongly urges’ CMS to delay provider Medicare audits

The Centers for Medicare & Medicaid Services first suspended most fee-for-service reviews back in March because of the pandemic.

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.