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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Big Pharma’s industry payments to diagnostic radiologists have risen sharply since 2019

Merk & Co. paid the largest amount to the specialty between 2017-2021, followed by Hologic and Pfizer, researchers wrote recently.  

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Radiologists capture growing market share for key interventional procedure while cardiologists lose ground

Among Medicare beneficiaries, there was a marked drop in the delivery of percutaneous renal artery angioplasty, used to treat a narrowed artery, between 2010 and 2018.

Imaging advocates urge feds to fix PET coverage gap following approval of new Alzheimer’s drug

CMS intends to soon propose a new national coverage determination that would loosen restrictions around PET payment, according to a report published Monday. 

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Members of Congress introduce bill requiring all Medicaid programs to cover lung cancer screening

H.R. 4286 also would expand coverage for tobacco cessation in the federal payment program, including counseling and medication-assisted treatment. 

Christopher Kit Crancer RBMA

Closing the coverage gap: How to empower patients in mammography

Radiology Business Management Association President Kit Crancer discusses the current coverage landscape for women's imaging and one promising national development. 

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Billing claims for nonphysician image interpretation leapt 27% over a 5-year period

"Since several states are shifting toward granting NPPs more autonomy, this is something worth watching," the study's author told Radiology Business

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Imaging AI vendors’ marketing hype doesn’t always match materials submitted to the FDA

About 1 in 8 were discovered to have marketing materials that made claims differing from their premarket approval. 

American Medical Association issues CPT code for AI-based brain MRI software

Icometrix said the current procedural terminology code covers its FDA-cleared quantification software, “creating a path to reimbursement.” 

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.