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. 

Medicare money payment

Justice Department accuses radiologist of amassing $6.5M in improper Medicare payments

James McGuckin, MD, allegedly submitted more than 500 false claims for unnecessary vascular procedures between 2016 to 2019, the DOJ said.

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Radiology Partners leader suggests 4 ways to fix the ‘dysfunctional’ No Surprises Act

Richard E. Heller, MD, MBA, the company's associate CMO for health policy and communications, detailed his thoughts in a recently published editorial.

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Imaging giant RadNet earns FDA greenlight for AI-based prostate MRI software

“Quantib Prostate 3.0” offers a suite of tools to help radiologists and urologists improve the quality of their assessments.

The Nanox.ARC imaging system

Nanox shares up 63% after scoring FDA clearance for new imaging system

The Nanox.ARC utilizes novel, cold-cathode X-ray tubes and charges physicians using a “pay per scan” business model. 

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American College of Radiology issues heads-up on possible payment denials at certain facility types

ACR is urging providers who encounter such denials to contact their local Medicare Administrative Contractor and consults related CMS documents. 

mammogram mammography breast cancer

FDA halts mammography services at facility that posed ‘serious risk to human health’

University Park OBGYN had its accreditation revoked effective in September, with the facility opting not to appeal the ruling, the FDA said.  

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No Surprises Act is working, new analysis contends, though it’s straining radiology providers’ margins

Urban Institute experts believe that OON payments and dispute resolutions will begin influencing negotiations tied to in-network imaging providers.

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S&P downgrades radiology vendor Zotec Partners after losing its largest customer

The Carmel, Indiana-based revenue cycle management provider holds some $307M in loans that are due within a year but has struggled to refinance.

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.