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. 

Obama FY2015 Budget Takes Aim at Self-referral, Calls for Pre-Auth

In a good-news–bad-news scenario for the radiology community, President Obama’s $3.9 trillion 2015 fiscal year budget would limit the self-referral rampant in advanced imaging and radiation oncology, but implement prior authorization for advanced imaging.

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The Transition to ICD-10: What it Means to You

APS

On October 1, 2014, healthcare practices will be required to use a revised version of the International Classification of Diseases code: ICD-10.

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Doshi Diagnostics to Settle Qui Tam Case for $15.5 Million

Diagnostic Imaging Group, an outpatient imaging chain with 36 locations in New York and Florida, will pay $15.5 million to settle charges that its centers falsely billed federal and state health-care programs for tests either not performed or not necessary, and for paying kickbacks to physicians.

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Radiologist’s Bid for U.S. Senate Embroiled in Facebook Flap

A radiologist’s social-media indiscretions may have cost him his candidacy for the U.S. Senate and could land him in hot water with his state’s medical board. 

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CMS to Mount End-to-end ICD-10 Testing for Some Providers

Caving to provider concern, CMS announced yesterday that it would implement end-to-end ICD-10 testing this summer for “a small sample group” of providers.

ACR Asks CMS for Reimbursement Cut Dampening

In a comment letter on the final 2014 Medicare fee schedule for physicians, the ACR pointed out once more the cumulative effect on imaging reimbursement of various recent legislative and policy changes and urged CMS to adopt a “dampening” policy to limit the total amount a specific procedural code could be reduced in a given year.

Christie Signs New Jersey Breast Density Bill

The Garden State becomes the 14th state that requires mammography providers to include breast density status in reports sent to patients.

Radiology’s Value Proposition: The Massachusetts Experience

On September 9, 2013, Cheryl Proval, editor, Radiology Business Journal, moderated “The Boston Experience: Radiology’s Value Proposition in the New Health-care Paradigm,” a panel discussion held in Boston, Massachusetts, at the RBMA Fall Educational Conference.  The meeting location offered a unique opportunity to explore radiology’s changing value proposition under health-care reform with a panel that represents hospital-based radiology, outpatient radiology, and the payor community.

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.