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Radiology AI triage solution earns separate, additional Medicare hospital payment

Radiology Business

The Centers for Medicare & Medicaid Services revealed the news under the 2025 Inpatient Prospective Payment System rule released on Aug.

Medicare 119
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Radiology AI triage solution the 1st to earn separate, additional Medicare hospital payment

Radiology Business

The Centers for Medicare & Medicaid Services revealed the news under the 2025 Inpatient Prospective Payment System rule released on Aug.

Medicare 105
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Medicare proposes paying for CT colonography under hospital outpatient rule, drawing praise from radiology community

Radiology Business

The American College of Radiology has pushed for this decision since 2008, when trial results showed CTC or "virtual colonoscopy" to be a solid alternative to the traditional screening approach, which requires anesthesia.

Medicare 140
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Will Medicare coverage boost utilization of CT colonography?

AuntMinnie

Upcoming Medicare reimbursement may change that. What’s more, adults with a history of diabetes (odds ratio = 1.2), chronic obstructive pulmonary disease (odds ratio = 1.58), cancer (odds ratio = 1.29), or past-year hospital admissions (odds ratio = 1.44) were also more likely to receive CTC. 400% of federal poverty level).

Medicare 105
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New Study Shows Non-Radiologists Interpreting 28 Percent of Imaging for Medicare Patients

Diagnostic Imaging

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
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Medicare proposed rule again cuts radiology reimbursement in 2025

AuntMinnie

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 105
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Hospital pays $801K to settle allegations radiology practices billed for ‘shoddy’ imaging services

Radiology Business

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

Hospital 111