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

JANUARY 24, 2025

Another is hospitals absorbing these costs to differentiate themselves from competitors. He added that research and science is catching up to AI development, which will eventually lead to payors catching up, along with support by the Centers for Medicare and Medicaid Services (CMS).

Imaging 317

Imaging Mammogram Insurance Medicare 317

Radiology Business

FEBRUARY 1, 2024

Physicians allegedly submitted false claims to Medicare and Medicaid for scans they either never reviewed or failed to assess in a timely fashion.

Hospital 278

Hospital Medicare Radiology Imaging 278

AuntMinnie

MARCH 28, 2025

They also found that total average yearly greenhouse gas emissions from all Medicare imaging exams between 2017 and 2021 ranged from 8.1 The researchers reported that the imaging inefficiency rate varied by modality and body region and ranged from 1.1% to 136 kilotons for MRI; 25 to 178 kilotons for CT; 7.1 to 46 kilotons for x-ray, and 2.7

Imaging 194

Imaging Medicare X-ray Healthcare 194

Radiology Business

FEBRUARY 1, 2024

Physicians allegedly submitted false claims to Medicare and Medicaid for scans they either never reviewed or failed to assess in a timely fashion.

Hospital 253

Hospital Medicare Radiology Imaging 253

Radiology Business

AUGUST 23, 2023

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

Insurance Medicare Hospital Imaging 244

Radiology Business

APRIL 6, 2023

University of Iowa Health Care also has agreed to mandate that physicians receive training on Medicare's requirements for reimbursement in a teaching setting.

X-ray 246

X-ray Medicare Hospital 246

AuntMinnie

MARCH 27, 2025

GE HealthCare's launch coincides with the receipt of pass-through status by the Centers for Medicare & Medicaid Services (CMS), effectiveApril 1st. The company also secured a drug-specific Healthcare Common Procedure Coding System billing code and coverage for traditional Medicare beneficiaries who may be recommended for the injection.

Healthcare 130

Healthcare Healthcare Medicare Radiopharmaceuticals 130

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. Why This Matters for Imaging Centers & Hospitals Higher reimbursement rates make it more feasible for facilities to invest in CCTA technology and training.

Medicare 52

Medicare Healthcare Healthcare Computed Tomography 52

AuntMinnie

MAY 28, 2024

Compliant billing for remote reading services is not always as straightforward as normal onsite billing, and radiology practices must be aware of the requirements of each payer, most especially those of Medicare and other government programs. The same would apply for a registered hospital outpatient if services were provided elsewhere.

Medicare 279

Medicare Radiology Inpatient Hospital 279

AuntMinnie

DECEMBER 4, 2023

The use of both cardiac CT and cardiac MRI increased in the Medicare population over the past seven years, according to research presented November 29 at the RSNA meeting. The team tracked volumes by provider type (cardiologists, radiologists, and "other") and practice setting (hospital and nonhospital). Cardiologists 49.2%

Radiologist 325

Radiologist MRI Medicare Inpatient 325

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

AuntMinnie

JULY 10, 2024

Centers for Medicare and Medicaid Services (CMS) proposed a new reimbursement plan July 10 for diagnostic PET scans that would provide separate payments for radiopharmaceuticals, as well as an extra payment for hospitals when they use domestically produced technetium-99m (Tc-99m).

Nuclear Medicine 305

Nuclear Medicine Radiopharmaceuticals Imaging Medicare 305

AuntMinnie

APRIL 15, 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 to fourth-quarter MICI results. They're also confident that diagnostic and interventional radiology volumes will grow monthly.

Radiology 288

Radiology Medicare Interventional Radiology Hospital 288

Vesta Teleradiology

JANUARY 8, 2025

For communities in Illinois and Ohio, where many rural hospitals and outpatient centers serve as lifelines, ensuring timely and accurate radiological services is crucial. By reducing overhead costs associated with maintaining in-house radiologists, rural hospitals can ensure uninterrupted imaging services without compromising care quality.

Hospital 52

Hospital Teleradiology Healthcare Healthcare 52

AuntMinnie

JUNE 5, 2024

Gilk described his efforts to get a copy of the report about the Kaiser accident from the California Department of Public Health (CDPH), the state's body for licensing hospitals and healthcare providers. It soon became clear that the CDPH may not have even been aware of the incident -- likely indicating that the hospital did not report it.

MRI 340

MRI Public Health Hospital Patient Care 340

Radiology Business

DECEMBER 11, 2024

Some have suggested increasing the number of Medicare-funded GME slots to relieve staffing shortages. However, this requires convincing Congress to intervene.

Hospital 147

Hospital Medicare Radiology 147

AuntMinnie

OCTOBER 9, 2023

Alzheimer’s disease patients with cognitive impairment or dementia who were referred for amyloid PET scans had fewer hospitalizations compared with a matched control group, according to a study published October 9 in JAMA Neurology. Eligible participants were Medicare beneficiaries 65 years or older with a diagnosis of MCI or dementia.

PET Scan 277

PET Scan Medicare Inpatient Hospital 277

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

JULY 1, 2024

of all imaging studies for Medicare fee-for-service beneficiaries in 2022, but that the remaining 27.9% The team conducted a study that included data from 123 million 2022 Medicare Part B imaging claims. Neiman Health Policy Institute (HPI) study. were performed by other types of clinicians, particularly cardiologists. Of these, 88.5

Image Interpretation 290

Image Interpretation X-ray Nuclear Medicine Imaging 290

AuntMinnie

JULY 10, 2024

Centers for Medicare and Medicaid Services (CMS) proposed a new reimbursement plan July 10 for diagnostic PET scans that would provide separate payments for radiopharmaceuticals, as well as an extra payment for hospitals when they use domestically produced technetium-99m (Tc-99m).

Medicare 130

Medicare Nuclear Medicine Radiopharmaceuticals Imaging 130

AuntMinnie

OCTOBER 2, 2024

tesla MRI AI body composition analysis Cardiac PET Cryo/thermoablation CT colonography Genicular artery embolization Hyperpolarized xenon-129 MRI PET/MRI Photon-counting CT Radiomics Theranostics Whole-body MRI screening Image of the Year 3D PET/MR image.

Digital Imaging and Communications in Medicine 360

Digital Imaging and Communications in Medicine X-ray MRI Hospital 360

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

DECEMBER 15, 2023

Neiman Health Policy Institute in Reston, VA, found that office ultrasound services have been mostly performed by radiologists while hospital outpatient and inpatient services have been performed more by cardiologists and cardiac surgeons. Researchers led by Casey Pelzl from the Harvey L. from 2009 to 2021. in 2009 to 34.2% to 8.1%.

Ultrasound 290

Ultrasound Radiologist Inpatient Medicare 290

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.

Medicare 279

Medicare Radiology Mammogram X-ray 279

AuntMinnie

JANUARY 17, 2024

Despite its superb diagnostic performance, data from the Medicare payment database indicates that in 2021, 194,554 PET MPI studies were performed for Medicare patients, while 1,470,751 SPECT MPI studies were performed, a ratio of 7.5 the authors noted. Also, out of 400 centers in the U.S. Also, out of 400 centers in the U.S.

Medicare 299

Medicare Insurance Education Radiation 299

AuntMinnie

MARCH 21, 2025

Designed to inform radiology practice management decisions and optimize reimbursement strategies, the Payor Rate Transparency Monitor for Radiology provides visualizations of in-network contracted rates drawn from payer data reported under the Centers for Medicare and Medicaid Services' transparency in coverage final rule, according to XiFin.

Revenue Cycle Management 100

Revenue Cycle Management Radiology Healthcare Information Technology Medicare 100

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 104

Medicare Nuclear Medicine Radiologist Imaging 104

AuntMinnie

MAY 15, 2024

The American Society for Radiation Oncology (ASTRO) applauded the introduction of legislation in Congress on May 15 that could radically change the way Medicare pays for radiation therapy. It unifies payments across settings based on hospital technical payments. House bill number for the legislation is pending.

Radiation 204

Radiation Radiation Oncology Medicare Patient Safety 204

AuntMinnie

NOVEMBER 4, 2024

Centers for Medicare & Medicaid Services (CMS) 2025 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS) final rules. ASTRO also supports short-term relief established through the Medicare Patient Access and Practice Stabilization Act, which would eliminate the looming 2.8%

Radiation Oncology 200

Radiation Oncology Nuclear Medicine Medicare Imaging 200

AuntMinnie

DECEMBER 5, 2023

To shed light on current and anticipated claims trends, the researchers searched commercial and Medicare payer data on arterial and venous thrombectomy procedures performed to treat VTE between January 2017 and December 2021. AT was more often billed through commercial insurers (62.1%) than Medicare (37.9%), with the opposite true of VT (53.2%

Minimally Invasive Procedure 264

Minimally Invasive Procedure Medicare X-ray Insurance 264

AuntMinnie

JULY 11, 2024

Centers for Medicare and Medicaid Services (CMS) is now backing Medicare reimbursement for CT colonography (CTC) for colorectal cancer screening. At long last, the U.S.

Medicare 223

Medicare Education Radiation IT 223

AuntMinnie

APRIL 3, 2024

Centers for Medicare and Medicaid Services (CMS) MIPS, although they rarely reported radiology-relevant MIPS quality measures, instead tracking those relevant to other specialties, according to a research letter from the Harvey L. "Our In contrast, those in multispecialty practices scored higher in the U.S. In fact, on average, only 1.8%

Radiologist 298

Radiologist Medicare Radiology Ultrasound 298

AuntMinnie

JUNE 23, 2023

Teleradiology workflow protocols may delay healthcare

Hospital 130

Hospital X-ray Medicare Imaging 130

AuntMinnie

NOVEMBER 1, 2024

Centers for Medicare and Medicaid Services (CMS) has released its final rule for the 2025 Medicare Physician Fee Schedule (MPFS), which includes coverage of colorectal cancer screening with CT colonography (CTC) for the first time. Until this past July , the CMS had chosen not to cover CTC for colorectal cancer screening.

Radiopharmaceuticals 213

Radiopharmaceuticals Medicare Computed Tomography Hospital 213

AuntMinnie

OCTOBER 10, 2024

Centers for Medicare and Medicaid Services (CMS) proposed new reimbursement plan in 2025, which includes an add-on payment for hospitals for the use of domestically produced Tc-99m. Portman also discussed the importance of the U.S.

Nuclear Medicine 278

Nuclear Medicine Hospital Medicare Government 278

AuntMinnie

OCTOBER 27, 2023

More than half of Americans carry private healthcare insurance, for which fees are negotiated rather than set by an entity such as Medicare, the study authors explained. This negotiation contributes to private insurance prices that are often higher than Medicare rates and variable, they said.

Healthcare 244

Healthcare Healthcare Insurance Medicare 244