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In the setting of limited patient satisfaction data in interventional radiology, this work investigated predictors of high patient satisfaction scores to provide insights for interventionalists for optimal healthcare delivery, the group wrote in the study abstract.
New Jersey-based University Radiology Group (URG) has rejoined the Strategic Radiology coalition of independent radiology groups, raising the coalition's privately owned member groups to 43. URG, a 60-year-old radiology practice based in East Brunswick, employs over 180 board-certified radiologists who interpret over 2.1
CPT codes are needed for appropriate insurance reimbursement. Its the wild west out there as far as how its being handled, said Sandy Coffta, vice president of client services at Healthcare Administrative Partners. This also reflects the regulatory side of things.
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. Work to reduce patients' out-of-pocket costs.
“This approach is particularly galling since service outages have exacerbated the administrative burdens and care delays already associated with" prior authorization, AMA said.
In other news, former Envision Healthcare CEO Jim Rechtin is slated to take over the top post at insurer Humana on July 1, while AHRA elected new board members.
The private equity-backed multispecialty group said Thursday that the pact will grant commercial and Medicare Advantage beneficiaries continued access to its physicians.
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. Hispanic 0.61 The full study can be found here.
The big radiology news of the week? United Healthcare–generally felt to be a font of diabolical greed–is suing Radiology Partners: In its unscrupulous pursuit of profits Radiology Partners orchestrated a pass-through billing scheme intended to defraud United, its customers, and its members of tens of millions of dollars.
The DOJ first filed suit more than a year ago, arguing the $8B, all-cash deal would stifle competition in the claims-processing and health insurance marketplaces.
Each year, the Minnies award winners reflect the current challenges, issues, and advances in radiology. And for the first time since 2018, physician burnout did not win the Minnies award for Biggest Threat to Radiology. Interested in the history of the Minnies, our annual award program recognizing excellence in radiology?
A team led by Lea Sacca, PhD, from Florida Atlantic University in Boca Raton found that insurance status, income, age, and ethnicity are some of the most influential factors in women being able to access breast cancer screening resources. Department of Health and Human Services.
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. Sandy Coffta.
In her presentation, Noushin Yahyavi, MD, from the University of Maryland in Baltimore discussed ways that stakeholders in imaging AI, including radiology departments and AI vendors, can better promote health equity with the technology. We do see a need to positively impact healthcare equity in radiology,” Yahyavi said.
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
Mammography remains one of the most critical areas of radiology practice -- and one that is facing changes in reporting requirements and reimbursement policy. Even with additional mammography reporting requirements placed on radiology practices, the reimbursement value of mammography services has not changed to reflect the extra work.
The purpose of our study was to measure the prevalence of self-reported financial hardship and health-related social needs among those who miss their radiology appointment.” A majority were women, and about 55% had commercial insurance, 35% had Medicare, and 7% had Medicaid. Screen for needs during radiology encounters?
In particular, legal action was filed by the Texas Medical Association, et al (TMA), to challenge the Independent Dispute Resolution (IDR) methodology , which is viewed as more favorable to insurance claims payers and grossly unfair to physicians. This ultimately delays claim resolution, which works in favor of the insurance payers.
Prior authorization is a process used by some health insurance companies to determine if they will cover a prescribed procedure, service, or medication. “This study suggests that prior authorization for cancer care can have discrete negative associations with outcomes for patients,” Chino and colleagues wrote.
AI applications are expected to transform radiology, but vendors, providers, and payors need aligned incentives to effect change in patient pathways. and insurance-based healthcare systems where reimbursement is a necessity, such frameworks are necessary to discern which technologies should be reimbursed. In the U.S.
Moral injury is common among interventional radiologists, according to a study published November 3 in Academic Radiology. An MI Symptom Scale‑Healthcare Professional (MISS-HP) score of 36 or greater indicated moral injury.
As 2025 begins, healthcare providers and medical coders must familiarize themselves with the latest updates to the Current Procedural Terminology (CPT) code set. These updates reflect advancements in medical technology and changes in healthcare delivery. These changes aim to facilitate broader use of this cutting-edge procedure.
It is imperative that radiologic technologists obtain accurate data and the right bolus timing simultaneously. The radiologic technologist must also obtain gated images: If the patient’s heartbeat is irregular or too fast, a nurse may need to administer beta blockers to slow the heart rate down.
As you might recall, UnitedHealthcare sued Radiology Partners in April 2023 for an alleged pass-through billing scheme during an ongoing arbitration process about underpayment initiated by RP’s subsidiary group Singleton Associates in April 202 2. The post United is Still Fighting Radiology Partners first appeared on Ben White.
christine.book Thu, 03/21/2024 - 10:34 March 21, 2024 — Diagnostic imaging provider US Radiology Specialists has announced that Lee Cooper will become its new Chief Executive Officer (CEO), and that current board member Molly Joseph will become its next Board Chair. Cooper and Joseph will succeed John Perkins , U.S.
The health insurer is in an ongoing contract dispute with Mary Washington Healthcare and six outpatient centers run in partnership with Radiologic Associates of Fredericksburg, Virginia.
In 2013, our top article covered a decision by a New York City hospital to close its radiology residency program. A New York City hospital on Monday moved to terminate its radiology residency program, leaving 11 residents without a program or funding to continue beyond the current program year ending June 30.
Radiology administrators express very high confidence that imaging will grow as a profit center in coming months, according to The MarkeTech Group's Medical Imaging Confidence Index (MICI) report for the second quarter of 2025. The document is made up of responses to questions about trends radiology administrators face in the coming year.
Implementing a financial hardship screening protocol for cancer patients requires a thorough understanding of social determinants of health, according to a commentary published August 6 in the Journal of the American College of Radiology. Of the total study cohort, 10.6% reported financial hardship. The complete article can be found here.
IMI joins SLHP, providing quality and affordable medical imaging to the Treasure Valley Healthcare Community {Boise, Idaho, February 15, 2024} SLHP members now have more options when it comes to accessing medical imaging within the Treasure Valley.
The importance of accurate and complete coding cannot be overemphasized for any area of radiology, but the complexity of interventional radiology (IR) coding makes it even more critical for optimal reimbursement. Erin Stephens. QCDR’s offer more measures that are tailored to a particular specialty.
Accreditation and Certification One of the first things to look for is whether the imaging center is accredited by recognized organizations such as the American College of Radiology (ACR). Be sure to verify whether the center is in-network with your insurance provider to avoid any surprise bills.
Imaging services provider Northeast Radiology has agreed to pay the U.S. Department of Health and Human Services (HHS) , Office for Civil Rights (OCR) $350,000 and comply with a corrective action plan (CAP) to resolve potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Security Rule.
Who We Are Vesta Teleradiology is a leader in radiology services, trusted by clients in over 40 states. Onsite Engagement: Be part of a team in a hospital or healthcare facility, making a direct difference in patient care. Our malpractice insurance includes tail coverage, giving you peace of mind every step of the way.
milla1cf Mon, 06/24/2024 - 20:27 June 24, 2024 — Legislative efforts across numerous states in 2024 focused on the integration of artificial intelligence ( AI ) in healthcare, reflecting several trends and priorities. To stay current on state legislative developments relevant to radiology, view the ACR policy map.
The investigators' work was published in two studies on February 12 in the Journal of the American College of Radiology. The team evaluated attrition patterns by gender and by pre- and post-COVID-19 data; it used National Residency Matching Program data (2005 to 2024) to estimate new entrants into the radiology workforce.
The American College of Radiology (ACR) is criticizing the Centers for Medicare and Medicaid Services (CMS) for its potential consolidation of four Medicare Administrative Contractor (MAC) jurisdictions into two jurisdictions. The ACR reiterated its stance to strengthen the engagement of physicians within the coverage determination process.
Congress must act on this bill before it adjourns at the end of the year to increase the conversion factor and help ensure that radiology practices and all healthcare providers can continue to offer high-quality care," stated ACR CEO Dana Smetherman, MD, in the bulletin. With 118th U.S.
According to the website, www.valuepenguin.com, “high-deductible health plans (HDHPs) were created for consumers to have a health insurance option with lower premiums and high deductibles. Insurance plans with a high deductible usually mean lower premium payments for employees. That often adds expense to your healthcare service.
I’m guessing it doesn’t feel great for Radiology Partners to once again be one of a handful of named companies in another “distressed debt” article. In their December 2022 healthcare sector report, Moody’s gave this cozy summary: The healthcare sector’s credit default risk is rising. billion by 2028.
For many, its also when insurance benefits renew. By scheduling early, youll also avoid the mid-year rush and make the most of your healthcare benefits. Navigating Insurance and Planning Ahead Insurance can be confusing, but TRA Medical Imaging makes it easy to understand your coverage for imaging services.
In particular, legal action was filed by the Texas Medical Association, et al (TMA), to challenge the Independent Dispute Resolution (IDR) methodology, which is viewed as more favorable to insurance claims payers and grossly unfair to physicians.
Patient awareness of out-of-pocket imaging costs may prompt them to cancel or avoid needed care, according to a commentary published October 14 in the Journal of the American College of Radiology ( JACR ). The most common source of this knowledge was direct inquiry to the insurance company (23.4%); only 11.1% Only 11.9%
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