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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Class action lawsuit claims radiologists subjected patients to ‘secret’ MRI research

Physician allegedly kept patients in scanners for extra examinations as part of a study evaluating the livers of indigenous peoples. 

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Average in-network and OON payment amounts are converging in radiology

This trend was seen across radiology and emergency medicine, two specialties highly impacted by surprise billing, FAIR Health noted. 

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Providers prevail in 77% of No Surprises Act payment disputes, new CMS data show

Emergency (58%) and radiology (17%) services made up most non-air ambulance payment determinations, the agency reported. 

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Prominent radiology practice accused of refusing imaging services to wheelchair user

The dispute dates to August, when Suzanne Garraffa first contacted Connecticut-based Jefferson Radiology seeking X-rays. 

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American College of Radiology asks CMS to permanently allow remote supervision of diagnostic tests

The Centers for Medicare & Medicaid Services started allowing this perk in 2020 amid the pandemic, but it is slated to go away by the end of 2024. 

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Physician congressman hopes to address ‘appalling’ inaction on Medicare pay fix by March

Rep. Larry Bucshon, MD, R-Ind, spoke during the American Medical Association’s National Advocacy Conference, which took place from Feb. 12-14 in Washington. 
 

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Outpatient imaging provider attempts to capitalize on closure of 2 local hospitals

Smart Scan Medical Imaging has sought to attract customers impacted by the news, noting the institutions were seeing 400 patients per month. 

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Physician Medicare payment reform the goal of new congressional working group

Radiology advocates said they look forward to working with the six senators, who believe Congress "must make changes" to the flawed system. 

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.