AuntMinnie

JULY 26, 2024

Centers for Medicare and Medicaid Services (CMS) has issued its proposal for payments in 2025 under the Physician Fee Schedule (PFS), and it contains an across-the-board 2.8% This reduction in payments continues a trend that has seen the Medicare fee schedule reduced by nearly 10% over the past 10 years. Radiology -3.8% -1.8% -2.8%

Medicare 264

Medicare Radiology Interventional Radiology Nuclear Medicine 264

AuntMinnie

APRIL 7, 2025

The Medicare reimbursement rates for 2025 remain unchanged as a result of the Continuing Resolution (CR) passed by the U.S. Thus, the downward spiral of Medicare reimbursement continues with physicians receiving nominally 2.83% less this year than in 2024. Congress and signed on March 15. Sandy Coffta.

Medicare 162

Medicare Radiology IT Healthcare 162

AuntMinnie

MARCH 28, 2025

Previous studies on inappropriate imaging have focused on "the importance of minimizing patient radiation exposure, limiting patient discomfort, lost work time, use of resources efficiently, and reduction of overall healthcare expenditures," the group explained. to 136 kilotons for MRI; 25 to 178 kilotons for CT; 7.1

Imaging 206

Imaging Medicare X-ray Healthcare 206

Vesta Teleradiology

MARCH 21, 2025

The 2025 Medicare reimbursement updates bring significant changes for healthcare providers, particularly in coronary computed tomography angiography (CCTA) and other imaging services. More healthcare facilities may begin offering CCTA, increasing early detection and diagnosis of cardiovascular condition.

Medicare 52

Medicare Healthcare Healthcare Computed Tomography 52

Healthcare Administrative Partners

OCTOBER 28, 2024

We covered the major points of the 2025 Medicare Physician Fee Schedule (MPFS) Proposed Rule when it came out in July, but while we’re waiting for the Final Rule to be published later in the year let’s look at another provision in the MPFS that we’ve been watching – the locality-specific payment adjustment known as the Geographic Practice Cost Index (..)

Medicare 91

Medicare IT 91

Radiology Business

AUGUST 8, 2024

on ways to modify healthcare policy. The college's concerns came in response to a recent RFI from U.S. Diana DeGette, D-Colo., and Larry Bucshon, MD, R-Ind.,

Medicare 298

Medicare Healthcare Healthcare 298

AuntMinnie

JANUARY 14, 2025

Radiology is undergoing significant changes in 2025, driven by healthcare advancements, regulatory challenges, and workforce dynamics. The hospital takeover in radiology The healthcare landscape is witnessing a notable shift as hospitals evaluate taking radiology services in-house.

Radiology 247

Radiology Private Practice Hospital Quality and Compliance 247

AuntMinnie

OCTOBER 27, 2023

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. Established patient office visit $88 ($69 to $114) 0.46

Healthcare 244

Healthcare Healthcare Insurance Medicare 244

AuntMinnie

JANUARY 31, 2025

The Medical Group Management Association (MGMA) has urged swift passage of the Medicare Patient Access and Practice Stabilization Act of 2025 introduced before the 119th U.S. On January 1, a 2.83% Medicare reimbursement cut went into effect for physicians due to a rule finalized by the U.S. Gregory Murphy, MD (R-NC).

Medicare 167

Medicare Insurance Government Healthcare 167

AuntMinnie

JANUARY 24, 2025

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 aligns with CMS goal that every Medicare beneficiary and most Medicaid beneficiaries will be in a value-based care arrangement by 2030.

Imaging 317

Imaging Mammogram Insurance Medicare 317

Radiology Business

NOVEMBER 1, 2024

“Despite rising practice costs, CMS continues to cut physician reimbursement, denying the reality of the burdens under which our healthcare system operates," SIR said Friday.

Medicare 279

Medicare Healthcare Healthcare 279

AuntMinnie

MARCH 29, 2024

Although medical imaging has frequently been considered a major culprit behind the growth of healthcare spending in the U.S., billion, while spending on all other healthcare services increased by 63.7%. Healthcare spending in the U.S. Healthcare spending in the U.S. In fact, imaging's part fell from 10.5% billion to $66.2

Healthcare 290

Healthcare Healthcare Nuclear Medicine Imaging 290

Radiology Business

MARCH 28, 2024

With the recent adjustment, the conversion factor is now 1.77% lower than it was in 2023, at $33.2875, consulting firm Healthcare Administrative Partners notes.

Medicare 275

Medicare Radiology Healthcare Healthcare 275

Radiology Business

MAY 26, 2023

The private equity-backed multispecialty group said Thursday that the pact will grant commercial and Medicare Advantage beneficiaries continued access to its physicians.

Insurance 264

Insurance IT Medicare Radiologist 264

Radiology Business

FEBRUARY 11, 2025

A total of 80 healthcare organizations signed the message, sent to leaders in the U.S. House and Senate on Feb.

Medicare 246

Medicare Medical Radiology Healthcare 246

Radiology Business

NOVEMBER 14, 2024

The bipartisan bill would simplify how payers process utilization requests in Medicare Advantage and is supported by 500 healthcare organizations and 200-plus lawmakers.

Medicare 278

Medicare Radiologist Healthcare Healthcare 278

Radiology Business

NOVEMBER 22, 2023

The American College of Radiology and 120 other healthcare organizations recently sent a letter to leaders of the House and Senate, asking them to fix the “flawed” Medicare payment system.

Medicare 310

Medicare Healthcare Healthcare Radiology 310

AuntMinnie

MARCH 7, 2025

Radiology practices often participate in the Medicare Quality Payment Program (QPP) through the Merit-based Incentive Payment System (MIPS). Centers for Medicare and Medicaid Services (CMS) has made a change to remove that cap, which means that such measures will receive the full 10 points. The completeness criteria remain at 75%.

Medicare 191

Medicare Radiology Radiation Computed Tomography 191

AuntMinnie

JANUARY 9, 2024

physician groups representing radiation oncology have partnered to try to reform Medicare payments and expand patient access to high-quality care. In other news, ASTRO said that chief executive officer Laura Thevenot plans to retire at the end of 2024 after leading the organization since 2002.

Radiation Oncology 162

Radiation Oncology Medicare Radiation Healthcare 162

AuntMinnie

MARCH 27, 2025

GE HealthCare plans to launch its Flyrcado (flurpiridaz F-18) injection in the U.S. GE HealthCare's launch coincides with the receipt of pass-through status by the Centers for Medicare & Medicaid Services (CMS), effectiveApril 1st. The company received approval from the U.S.

Healthcare 147

Healthcare Healthcare Medicare Radiopharmaceuticals 147

AuntMinnie

APRIL 2, 2025

A significant percentage of imaging studies ordered by office-based healthcare providers are self-interpreted rather than referred to radiologists for reading, according to researchers from the Harvey L. million office-based imaging claims for Medicare fee-for-service beneficiaries in 2022 that were ordered by nonradiologists.

Image Interpretation 147

Image Interpretation Imaging Nuclear Medicine Fluoroscopy 147

Ben White

MARCH 10, 2025

” They discuss a healthcare-related Open Loop error with MACRA: MACRA (Medicare Access and CHIP Reauthorization Act) was designed to pay doctors more for higher-quality care.

Medicare 147

Medicare Government IT Healthcare 147

AuntMinnie

SEPTEMBER 7, 2023

In a new column, Erin Stephens of Healthcare Administrative Partners review.

Medicare 130

Medicare Radiology Ultrasound Healthcare 130

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

Medicare Radiology Quality and Compliance Hospital 289

AuntMinnie

AUGUST 1, 2023

In a new column, Sandy Coffta of Healthcare Administrative Partners assesse.

Medicare 130

Medicare Radiology Ultrasound Healthcare 130

AuntMinnie

JUNE 13, 2023

In a new column, Sandy Coffta of Healthcare Administrative Partners shares ho. Read more on AuntMinnie.com Related Reading: HAP adds new client in Delaware HAP adds MCB Radiology to clientele Coding changes that will impact radiology practices in 2023 Last-minute Congressional action reduces Medicare fee cuts for 2023

Medicare 130

Medicare Healthcare Healthcare Radiology 130

AuntMinnie

MARCH 29, 2024

With the passage of the Consolidated Appropriations Act, 2024 (CAA 24) , we finally learned the rates physicians will be paid for Medicare services during the remainder of 2024. This makes the Medicare payment rate 1.77% lower than it was in 2023, rather than the 3.37% cut that was contained in the 2024 MPFS Final Rule. rather than 2.5%

Medicare 279

Medicare Radiology Mammogram X-ray 279

AuntMinnie

DECEMBER 10, 2024

Healthcare Administrative Partners (HAP) has added Imaging Healthcare Specialists (IHS) to its roster of radiology revenue cycle management clients.

Revenue Cycle Management 130

Revenue Cycle Management Healthcare Healthcare Medicare 130

Vesta Teleradiology

JANUARY 8, 2025

Access to quality healthcare in rural areas can be a significant challenge. 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.

Hospital 52

Hospital Teleradiology Healthcare Healthcare 52

AuntMinnie

OCTOBER 29, 2024

The American College of Radiology (ACR) is urging Congress to pass the Medicare Patient Access and Practice Stabilization Act of 2024, which was introduced October 29 by a bipartisan group of lawmakers. The ACR believes this bill will ensure that radiology practices and all healthcare providers can continue to offer high-quality care.

Medicare 100

Medicare Healthcare Healthcare Radiology 100

Healthcare Administrative Partners

MARCH 4, 2025

The 2025 conversion factor (CF) that sets the overall rate for the Medicare Physician Fee Schedule (MPFS) was adjusted downward by 2.83% from the 2024 rate, to $32.3465 per Relative Value Unit (RVU) vs. $33.2875 per RVU.

Medicare 49

Medicare Radiology 49

AuntMinnie

JULY 18, 2024

But they're less sure that their departments will receive adequate Medicare reimbursement for exams and that internal operating expenses and staff costs will remain constant compared with second-quarter MICI results. But it also noted that all regions have neutral or low confidence in receiving adequate Medicare reimbursement.

Radiology 284

Radiology Interventional Radiology Medicare Diagnostic 284

AuntMinnie

AUGUST 30, 2024

Practices that reported under the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP) for 2023 can now get their performance score and find out how it will impact their Medicare reimbursement in 2025. The payment adjustment based on the 2023 performance scores will be applied to Medicare payments in 2025.

Medicare 264

Medicare Radiology Public Health Education 264

AuntMinnie

MARCH 6, 2025

While healthcare as a whole has attracted private equity companies, radiology has become an area of focus. Final analysis included data collected between 2013 and 2023 from various financial and medical databases such as PitchBook, ad hoc web searches, and Medicare. The researchers evaluated imaging practice acquisitions in the U.S.

Radiology 130

Radiology Radiologist Medicare Diagnostic Imaging 130

AuntMinnie

OCTOBER 11, 2024

A 24-count federal grand jury indictment of more than $54 million in alleged Medicare fraud involves a Los Angeles-area radiology practice and several independent diagnostic testing facilities (IDTFs). They are accused of laundering money they received from Medicare to buy $6 million in gold bars and coins, the DOJ said.

Medicare 189

Medicare Imaging Diagnostic Healthcare 189

AuntMinnie

MAY 14, 2024

Centers for Medicare and Medicaid Services (CMS) to establish a formalized payment pathway for AI healthcare services. We cannot afford to exacerbate existing healthcare disparities by restricting access to cutting-edge AI-enabled medical devices only to those who can pay out-of-pocket,” the groups wrote.

Medical Device 243

Medical Device Radiology Medicare Healthcare 243

AuntMinnie

MARCH 6, 2025

But as in the company's last survey, administrators' confidence that their departments will receive adequate Medicare reimbursement for exams is low, and they are neutral when it comes to confidence that internal operating expenses and staff costs will remain constant and that they will have access to capital for imaging equipment and IT needs.

Interventional Radiology 130

Interventional Radiology Imaging Medicare Government 130