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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Practice managers demand ‘immediate action’ on physician Medicare pay cut

The Medical Group Management Association made its demands in a letter to newly appointed leaders in the U.S. House and Senate sent Tuesday. 

Reimbursement update: What hospitals need to know about new Medicare payments for cardiac CT

CMS finalized a significant policy change when it increased the Medicare payments hospitals receive for performing CCTA exams. What, exactly, does the update mean for cardiologists, billing specialists and other hospital employees?

CDC considers letting nurse practitioners, physician assistants read X-rays under federal program

The agency's “B Reader Program” trains and certifies physicians to classify chest radiographs of workers participating in federal health surveillance programs. 

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FDA seeking nominations for mammography advisory committee

The National Mammography Quality Assurance Advisory Committee provides guidance and recommendations related to the standards by which facilities are regulated. 

RBMA President Peter Moffatt explains trends in radiology business management at RSNA 2024. Topics include integration with AI, the radiologist staffing shortage, reimbursement issues and what to expect in healthcare policy from the Trump administration. #RBMA #RSNA24

The biggest obstacles facing radiology business managers in 2025

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.

Aetna

CVS-owned insurer Aetna sues Radiology Partners alleging multiphase ‘fraud scheme’

The Hartford, Connecticut-based payer filed the complaint in Florida Middle District Court, alleging the actions defrauded it of "tens of millions." 

Video of Mark Isenberg, Executive VT of Zoltec Partners at RSBNA 2024, explains policies and regulations shaping radiology in 2025.

Policies and regulations shaping radiology in 2025

Mark Isenberg, executive vice president of Zotec Partners, discusses key developments that will reshape the specialty this year. 

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Cardiology practices pay $17.7M to settle fraud allegations brought on by whistleblowers

A total of 16 cardiology practices from 12 states settled with the DOJ to resolve allegations they overbilled Medicare for imaging agents used to diagnose cardiovascular disease. 

Around the web

The ACR hopes these changes, including the addition of diagnostic performance feedback, will help reduce the number of patients with incidental nodules lost to follow-up each year.

And it can do so with almost 100% accuracy as a first reader, according to a new large-scale analysis.

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.