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Physicians, hospitals cry foul after court deems No Surprises Act decisions ‘unenforceable’

Radiology Business

The ruling "gives insurers significant leverage to demand confiscatory discounts from out-of-network providers," the AMA, American Hospital Association and others contend.

Hospital 286
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Publicly insured pregnant women less likely to get 20-week ultrasounds

AuntMinnie

Publicly insured pregnant women are less likely to get 20-week ultrasounds, a phenomenon that drives disparities in prenatal diagnosis of congenital heart defects, according to research published September 23 in Prenatal Diagnosis. “To Lurie Children’s Hospital of Chicago. lower probability of prenatal diagnosis.

Insurance 260
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Experts call for CPT codes for imaging AI reimbursement

AuntMinnie

CPT codes are needed for appropriate insurance reimbursement. Another is hospitals absorbing these costs to differentiate themselves from competitors. And since there are no procedure codes, patients should be aware that even if a facility offers to bill their insurance, its unlikely they will pay.

Imaging 317
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ACR/RBMA workforce survey: Radiologist recruiting remains a key concern

AuntMinnie

Recruiting remains a key concern among both academic and hospital radiology practices, with 67% of radiologists reporting that their practices are understaffed, researchers have found. Both hospital (85%) and national (89%) practices were more likely than academic ones (77%) to offer malpractice insurance.

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Imaging centers, hospital system reach agreement with Anthem BCBS in $93M dispute

Radiology Business

28, alleging Virginia's largest commercial insurer had denied or downgraded an enormous volume of claims. Bon Secours Mercy Health filed suit Aug.

Hospital 289
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Safety net hospital provides equitable care in breast screening

AuntMinnie

Safety net hospitals provide equitable care in breast cancer screening in terms of race and ethnicity, a study published December 12 in Academic Radiology found. Other inequities have been reported in care utilization, insurance coverage, and health outcomes for women of diverse racial and ethnic backgrounds.

Hospital 222
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Same hospital, same insurer, but imaging prices twice as high for commercial vs. Medicare Advantage plans

Radiology Business

When stated in dollar terms, the median price for imaging services was $490 across commercial plans compared to $191 in MA, experts wrote in Health Affairs.

Insurance 244