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Experts call for CPT codes for imaging AI reimbursement

AuntMinnie

Imaging AI tools and algorithms continue to be rapidly developed and deployed into clinics, but experts say theres an elephant in the room that still needs to be addressed: reimbursement. Specifically, AI supporters are focusing on the lack of current procedural terminology (CPT) codes representing imaging services performed with AI.

Imaging 317
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Study finds decreases in imaging's share of all healthcare spending

AuntMinnie

Although medical imaging has frequently been considered a major culprit behind the growth of healthcare spending in the U.S., its share among employer-insured individuals actually decreased between 2010 and 2021, researchers have reported. In fact, imaging's part fell from 10.5% Healthcare spending in the U.S.

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Disparities persist in availability of diagnostic breast services

AuntMinnie

Women in racial and ethnic minority backgrounds are less likely to be provided same-day diagnostic breast imaging services, despite such services being available, according to research published February 18 in Radiology. Additional imaging and possibly image-guided biopsy are recommended for women who have an abnormal screening mammogram.

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How consistent is pricing for healthcare services?

AuntMinnie

Pricing for healthcare services -- including imaging -- isn't as consistent across the U.S. The findings underscore how important it is for patients to understand pricing variability in healthcare, wrote a team led by Benjamin Chartock, PhD, of Bentley University in Waltham, MA. High-severity ED visit $226 ($169 to $320) 0.53

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How Much Will My Imaging Exam Cost? Understanding Insurance and Out-of-Pocket Costs

TRA Medical Imaging

When your doctor orders an imaging exam, one of the first questions you might have is: How much will this cost? At TRA Medical Imaging, we believe in transparent pricing and helping you navigate the complexities of insurance coverage, out-of-pocket costs, and financial assistance options. Does Insurance Cover My Imaging Exam?

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Cigna is removing 25% of medical services from prior authorization, but none of them are in imaging

Radiology Business

The health insurer has faced criticism over its use of PA, including a class action lawsuit alleging it denied claims for imaging and other healthcare services in bulk

Insurance 246
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7 ways to reduce healthcare disparities in radiology

AuntMinnie

Healthcare disparities continue to plague medical imaging, but there are concrete measures radiologists can take to mitigate them, according to a paper published on October 12 in RadioGraphics. Health insurance coverage influences breast cancer screening behavior. Image courtesy of Peter Abraham, MD, et al.