Medicare to boost payment for certain diagnostic imaging agents
Radiology Business
NOVEMBER 5, 2024
CMS is moving forward with a proposal to issue separate reimbursement for radiopharmaceuticals—a change long lobbied for by the imaging industry.
Coding changes that will impact diagnostic and interventional radiology practices in 2025
AuntMinnie
JANUARY 31, 2025
Diagnostic radiology MRI Safety A new CPT subsection has been established for reporting six new codes describing MR safety services, including implant or foreign body evaluation, safety consultation, electronics preparation, and implant positioning or immobilization. 76015 Add-on Each additional 30 minutes G - 1.59 $51.43 48.96 $1,583.68
Join 5,000
Insiders
Sign Up for our Newsletter
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Trending Sources
Bipartisan bill aims to boost Medicare patients’ access to diagnostic imaging agents
Radiology Business
APRIL 6, 2023
The Facilitating Innovative Nuclear Diagnostics Act of 2023 would eliminate barriers to nuclear medicine, supporters charged.
Nuclear Medicine 
276
276 
Medicare to allow remote monitoring of diagnostic imaging exams for at least 1 more year
Radiology Business
JULY 12, 2024
"The failure of CMS to make virtual supervision permanent is certainly disappointing,” attorney and radiology policy expert Tom Greeson wrote Thursday.
New data highlight ‘massive gap’ between what Medicare, Medicaid pay for diagnostic imaging
Radiology Business
JUNE 4, 2023
The chasm between the two public payment programs has continued to grow since 2012, the Neiman Health Policy Institute reported recently.
Higher Medicaid-to-Medicare reimbursement ratios boost imaging use
AuntMinnie
DECEMBER 19, 2024
Higher Medicaid-to-Medicare reimbursement ratios (MMRR) are linked to increased likelihood of Medicaid patients receiving CT, MR, ultrasound, and x-ray imaging, researchers have reported. Hence, the potentially beneficial aspects of increased Medicaid reimbursement, although not [necessarily] specific to imaging, are broad-based."
Medicare 203
203 
Regulatory issues facing radiology groups in 2024
AuntMinnie
FEBRUARY 27, 2024
Regulatory issues facing radiology groups in 2024 We pay a lot of attention to government regulation in healthcare, especially the Medicare Physician Fee Schedule (MPFS), which influences reimbursement not only from Medicare but also from other payers as many commercial contracts are tied to the MPFS.
Medicare 289
289 
Private equity acquisition rising in radiology
AuntMinnie
MARCH 6, 2025
Khunte and Singh suggested that this is due in part to radiologys reliance on advanced technology and IT infrastructure, growing demand, and favorable reimbursement rates for diagnostic imaging services. The researchers evaluated imaging practice acquisitions in the U.S.
Radiology 130
130 
Radiology practice reaches in-network agreement with UnitedHealthcare 9 months after terminating contract
Radiology Business
APRIL 15, 2025
Arizona-based Southwest Diagnostic Imaging shared the breakthrough Monday, restoring access for patients covered by UHCs commercial and Medicare Advantage plans effective May 1.
Medicare 125
125 
Volume of IR procedures performed by PAs, NPs, is on the rise
AuntMinnie
JULY 1, 2024
Lindquester and colleagues conducted an analysis of the volume of procedures commonly executed in interventional radiology by PAs and NPs via a study that included data from the Medicare Part B Physician/Supplier Procedure Summary Master File (PSPSMF) for 2010 and 2021. increase in volume for NPs and a 66.7% increase for PAs.
Medicare 214
214 
ACR responds to Congressional query on AI reimbursement
AuntMinnie
MAY 9, 2024
Food and Drug Administration (FDA)-authorized radiology-specific AI products intended for use in a variety of applications that use diagnostic imaging data, Thorwarth's letter noted for Congress. As of May 6, the ACR estimated that there are approximately 250 U.S. William Thorwarth Jr., Thorwarth added that the U.S.
Medical Device 288
288 
Stabilizing Medicare Reimbursement: A Plan For Action
Diagnostic Imaging
JULY 25, 2023
Noting that the Medicare conversion factor in 2024 could be lower than the rate in 1993, this author discusses three key issues that need to be addressed by government leaders in order to ensure equitable Medicare reimbursement for radiologists and other physicians.
Medicare 98
98 
What's brewing in RT and RA legislation, policy, and standards?
AuntMinnie
APRIL 22, 2024
For example, the American Society of Radiologic Technologists (ASRT) is working with lawmakers to reintroduce the federal Medicare Access to Radiology Care Act (MARCA) in the current legislative session. Creating pressure, the U.S. For CT and MRI procedures where injected contrast media is ordered, ".
New Study Shows Non-Radiologists Interpreting 28 Percent of Imaging for Medicare Patients
Diagnostic Imaging
JUNE 28, 2024
While radiologists interpreted approximately 99 percent of all non-cardiac CT, MRI and nuclear medicine studies in hospital and emergency department settings for Medicare beneficiaries, new research shows significantly less radiologist review of cardiac imaging and office-based imaging.
Medicare 101
101 
Self-Interpretation of Imaging by Non-Radiologists Accounts for 43.5 Percent of Medicare Imaging Claims
Diagnostic Imaging
APRIL 3, 2025
In a review of over 1,630,000 office-based non-breast imaging Medicare fee-for-service (FFS) claims from 2022, researchers found that 39.5 percent of nuclear medicine imaging were interpreted by ordering clinicians.
Medicare 85
85 
How AI has improved CT image reconstruction for cardiac cases
AuntMinnie
JUNE 6, 2024
In their review, Willemink et al noted that DLR yields improved image quality compared with FBP and HBIR, as well as the potential of between 30% and 71% lower radiation dose compared with HIR. Thanks to its better noise reduction, DLR also maintains diagnostic image quality, according to the authors.
Imaging 278
278 
Advancing Healthcare Access: Teleradiology Support for Rural Hospitals in Illinois and Ohio
Vesta Teleradiology
JANUARY 8, 2025
As a teleradiology company, we specialize in bridging this gap by offering high-quality diagnostic imaging interpretation, ensuring rural healthcare providers can deliver top-tier care to their patients. These changes highlight the importance of cost-effective solutions for maintaining high-quality care.
Hospital 52
52 
Study finds decreases in imaging's share of all healthcare spending
AuntMinnie
MARCH 29, 2024
Over the years medical imaging has been considered a major contributor to increased healthcare spending, and has been subject to a variety of cost-cutting measures that have been mostly aimed at reducing Medicare and Medicaid costs. million individuals; they used the Neiman Imaging Types of Services (NITOS), version 4.0
Healthcare 290
290 
A Victory for Radiology: New CMS Proposal Would Provide Coverage of CT Colonography in 2025
Diagnostic Imaging
JULY 12, 2024
In newly issued proposals addressing changes to coverage for Medicare services in 2025, the Centers for Medicare and Medicaid Services (CMS) announced its intent to provide coverage of computed tomography colonography (CTC) for Medicare beneficiaries in 2025.
Medicare to Cover AI-Powered, CCTA-Based Coronary Plaque Analysis and Quantitative Coronary Topography
Diagnostic Imaging
OCTOBER 15, 2024
Four Medicare administrative contractors (MACs) will provide coverage of AI-enabled coronary plaque analysis and quantitative coronary tomography assessment of coronary computed tomography angiography (CCTA) for Medicare beneficiaries starting in November 2024.
Medicare 66
66 
What Does the Future Hold for Medicare Coverage of Amyloid PET Scans?
Diagnostic Imaging
OCTOBER 16, 2023
Various organizations have applauded the decision by the CMS to remove National Coverage Determination (NCD) limitations to coverage for amyloid PET scans, including the limitation of Medicare or Medicaid coverage to one PET scan per a patient’s lifetime.
PET Scan 71
71 
American College of Radiology Releases New and Updated Appropriateness Criteria
Imaging Technology
APRIL 11, 2023
milla1cf Tue, 04/11/2023 - 21:21 April 11, 2023 — The American College of Radiology ( ACR ) released an update to its ACR Appropriateness Criteria (ACR AC), which includes 227 diagnostic imaging and interventional radiology topics with more than 1,080 clinical variants covering 3,000 clinical scenarios.
Medicare 98
98 
Diagnostic radiology physicians net $54M in industry payments
AuntMinnie
JULY 11, 2023
Pharmaceutical industry companies were involved in payments to diagnostic radiolog.
Diagnostic 100
100 
The rise of theranostics: Part 5 -- Advice from center administrators
AuntMinnie
JULY 12, 2024
As nuclear medicine therapies gain stature compared to nuclear medicine in diagnostic imaging, hospital administrators may be eyeing the potential of adding theranostics services. Centers for Medicare and Medicaid (CMS) and manufacturers that agree to provide pharmaceuticals at significantly reduced rates for facilities that qualify.
Nuclear Medicine 264
264 
IAC Receives CMS Approval of MRI Standards
Imaging Technology
NOVEMBER 25, 2024
tim.hodson Mon, 11/25/2024 - 19:15 Nov, 21, 2024 — The Intersocietal Accreditation Commission (IAC) recently announced that the Centers for Medicare and Medicaid Services (CMS) approved the latest revision to the IAC Standards & Guidelines for MRI Accreditation, paving the way for their release on Nov.
MRI 52
52 
Ultromics Gets HCPCS Code for AI-Powered EchoGo Heart Failure Device
Diagnostic Imaging
JULY 6, 2023
An artificial intelligence (AI)-enabled platform that can reportedly diagnose heart failure with preserved ejection fraction (HFpEF) through analysis of a single echocardiogram view, the EchoGo Heart Failure now has a HCPCS code for use of the technology in outpatient settings for Medicare beneficiaries.
Medicare 126
126 
New CMS-Approved MRI Standards: Enhancing Safety in Remote Scanning and Portable Imaging
Vesta Teleradiology
NOVEMBER 27, 2024
The Centers for Medicare & Medicaid Services (CMS) has approved new MRI standards introduced by the Intersocietal Accreditation Commission (IAC), focusing on remote scanning and portable imaging technologies. These updates, effective immediately, aim to enhance patient safety and adapt to advancements in MRI practices.
MRI 59
59 
PET/CT: The Fastest Growing Diagnostic Imaging Modality
Associates in Medical Imaging
APRIL 23, 2021
Gone are the days when there was one "gold standard" diagnostic imaging option. Today, PET/CT is the fastest growing diagnostic imaging modality, and for good reason. PET/CT scans combine two different types of imaging capabilities in a single procedure using one machine.
X-ray vision: The complexities of radiology revenue cycle management
AuntMinnie
MAY 15, 2024
In the last few decades, radiology has experienced a wave of technological advancements, from the adoption of AI in diagnostic imaging to the integration of telehealth services. Recent changes, such as the 2024 Medicare Physician Fee Schedule final rule, represent a decrease in reimbursement by approximately 3.37%.
IAC adds portable and remote scanning to MRI accreditation standards
AuntMinnie
NOVEMBER 22, 2024
The Intersocietal Accreditation Commission (IAC) released revised standards and guidelines for MRI accreditation on November 20, following Centers for Medicare and Medicaid Services (CMS) approval.
MRI 100
100 
Current and Emerging Legislative Priorities for Radiology in 2025
Diagnostic Imaging
JANUARY 27, 2025
discussed key points of emphasis for legislative advocacy in radiology, including long-term reform in Medicare reimbursement, improved coverage of breast cancer screening and mitigation of the ongoing radiology workforce shortage. In a recent interview, Amy Patel, M.D.,
Radiology 80
80 
CMS Issues New Reimbursement Code for PSMA PET Agent POSLUMA
Diagnostic Imaging
SEPTEMBER 26, 2023
The transitional pass-through payment reimbursement code for the FDA-approved PSMA PET agent for prostate cancer detection will be effective as of October 1, according to the Centers for Medicare and Medicare Services (CMS).
Medicare 69
69 Medicare 69
69 
Deductible, Co-pay May Lead Women to Skip Breast Follow-up
Imaging Technology
APRIL 5, 2023
However, any follow-up diagnostic imaging for an abnormal finding seen on screening mammography may require the patient to pay a co-payment or deductible, depending on their healthcare plan.” Dr. Ngo and colleagues wanted to assess the impact that these payments had on a patient’s willingness to return for important follow-up imaging.
Insurance 97
97 
Study Finds Little Impact of Amyloid PET Scans on Reducing Hospitalization or ER Visits for People with Cognitive Decline
Diagnostic Imaging
OCTOBER 11, 2023
In a study of over 25,000 Medicare beneficiaries with mild cognitive decline or dementia, researchers found that obtaining amyloid positron emission tomography (PET) scans resulted in no statistically significant differences upon subsequent hospitalization and emergency department visit rates at one year.
PET Scan 80
80 
Outpatient Reimbursement to Increase 65 Percent for EchoGo Heart Failure Platform in 2024
Diagnostic Imaging
NOVEMBER 8, 2023
Reimbursement for use of the artificial intelligence (AI)-powered EchoGo Heart Failure platform in hospital outpatient settings for Medicare and Medicaid patients is expected to increase from $99.81 to $284.88 in 2024.
Medicare 66
66 
Attracting and Retaining Radiology Staff
Everything Rad
JULY 17, 2023
The enduring shortage is affecting staffing for radiographers and radiologists; and all imaging modalities. Marion Anderson, CRA, Diagnostic Imaging Manager at Karmanos Cancer Center in Detroit, Michigan reports that her facility is down two-thirds of staff for CT and mammography exams. Bureau of Labor Statistics.
Radiology 98
98 
Abstract No. 38 Trends in Diagnosis and Treatment of Peripheral Arterial Disease in the Medicare Population from 2011 to 2021
JVIR
FEBRUARY 21, 2024
We sought to assess whether there was any impact on the utilization of diagnostic imaging—CT angiography (CTA) and MR angiography (MRA)—and treatments—stenting, angioplasty, atherectomy, and bypass—in PAD both generally and across different physician specialties and healthcare facilities.
Disease 40
40 
Non-Physician Providers Increasingly Used in Imaging Interpretations
Vesta Teleradiology
SEPTEMBER 15, 2023
Researchers should also explore NPPs’ roles in supervising diagnostic imaging tests involving contrast administration, in accordance with state regulations and Medicare rules. The study highlights the need for further research into NPP involvement in radiology services, driven in part by shortages of physician specialists.
The Rise of NPP Image Interpretation: What New Radiology Research Reveals
Diagnostic Imaging
JULY 11, 2023
In a retrospective review of over 110 million imaging claims for patients with commercial insurance or Medicare Advantage, researchers noted key trends signaling significant increases in imaging billed by non-physician practitioners (NPPs).
Emerging Perspectives on Amyloid PET Imaging for Alzheimer's Disease
Diagnostic Imaging
JULY 20, 2023
discussed the potential impact of the recent CMS proposal to rein in Medicare coverage restrictions on the use of amyloid positron emission tomography (PET) for patients with Alzheimer’s disease. In a video interview, Jacob Dubroff, M.D.,
Disease 52
52 
CMS Proposes Lift of Coverage Restrictions on PET Imaging for Alzheimer's Disease
Diagnostic Imaging
JULY 19, 2023
Recognizing the advent of beta amyloid-targeted therapies for the treatment of Alzheimer’s disease, the Centers for Medicare and Medicaid (CMS) has proposed eliminating coverage restrictions that limit amyloid positron emission tomography (PET) scans to clinical trial participants and one amyloid PET scan per lifetime.
Disease 52
52 
Rural Hospital Raises the Bar with Comprehensive State-of-the-art Imaging Systems
Imaging Technology
JULY 12, 2023
To meet that goal, we had to get the best possible equipment and that’s why we turned to Fujifilm Healthcare Americas Corporation for the very latest in diagnostic imaging systems.” The recent investment in a full portfolio of diagnostic imaging equipment is the latest testament to that philosophy.
Hospital 97
97 
An explosion in imaging: Is this the future?
The British Institute of Radiology
MAY 4, 2023
It includes a combination of private health insurance, employer-based insurance, individual out-of-pocket payments, and public programs like Medicare and Medicaid, which are funded through federal and state taxes. In contrast, the US medical system is a mixed system of public and private funding. In 2022 there were 6.6
Imaging 52
52 
3 Factors That Determine Radiology Pricing
Premier Radiology Services
AUGUST 10, 2021
Nevertheless, one of the quickest and most efficient ways to manage imaging costs is by partnering with a high-quality and efficient radiology service that can help you save money and stabilize your bottom line. When researching diagnostic imaging partners, there are five important criteria to consider: Insist on U.S.-based
X-ray 52
52 
Let's personalize your content