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Radiology is undergoing significant changes in 2025, driven by healthcare advancements, regulatory challenges, and workforce dynamics. Key trends include hospital consolidation of radiology services, the need for stronger cybersecurity, and innovative strategies to address staffing shortages.
Food and Drug Administration (FDA) that use AI and machine learning, including those used in radiology. The bipartisan bill would amend title XVIII of the Social Security Act to set up appropriate payment of certain algorithm-based healthcare services under the Medicare program. cleared by the FDA are used in radiology.
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 RVU vs. $33.2875 per Relative Value Unit (RVU). 879, the Medicare Patient Access and Practice Stabilization Act of 2025, has been introduced but no action has been taken.
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.
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%
New research comes out every week in radiology highlighting the performance and potential AI in assisting diagnosis of various pathologies. Food and Drug Administration (FDA) cleared the 1,000th clinical AI algorithm to close out 2024, and radiology is represented in about 75% of FDA-approved AI devices.
Excess imaging translates to "significant"carbon dioxide (CO2) emissions, according to a study published March 28 in the Journal of the American College of Radiology. Overuse of imaging is a strain on our healthcare system and radiology workforce," said senior author Michael Atalay, MD, PhD, of Brown University in Providence, RI.
Radiology administrators are confident that diagnostic and interventional radiology will continue to grow as a profit center, according to The MarkeTech Group's Medical Imaging Confidence Index (MICI) new report for the second quarter of 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.
Centers for Medicare and Medicaid Services (CMS), according to a commentary published March 12 in the American Journal of Roentgenology. Kim's colleagues included Anu Obaro, PhD, of St Mark's Hospital and Academic Institute in London, U.K.; Stuart Taylor, MD, of the University College London, also in the U.K.;
Radiology administrators remain positive that diagnostic and interventional radiology will continue to grow as a profit center, according to The MarkeTech Group's Medical Imaging Confidence Index (MICI) report for the third quarter of 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. Sandy Coffta.
Healthcare information technology firm XiFin will debut its Payor Rate Transparency Monitor for Radiology at Paradigm, the Radiology Business Management Association (RBMA) 2025 meeting. Radiology executives will have an opportunity to use the radiology payer rate tool in the firm's interactive in-booth kiosk at RBMA 2025.
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?
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.
MRI safety oversight is spotty at best, with gaps "big enough to drive a truck through," according to Tobias Gilk, founder of Gilk Radiology Consultants in Overland Park, KS, and senior vice president of Radiology-Planning in Mission, KS. Centers for Medicare and Medicaid Services (CMS). Cal/OSHA also conducted a review.
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.
University of Iowa Health Care also has agreed to mandate that physicians receive training on Medicare's requirements for reimbursement in a teaching setting.
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.
Some have suggested increasing the number of Medicare-funded GME slots to relieve staffing shortages. However, this requires convincing Congress to intervene.
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.
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.
of all imaging studies for Medicare fee-for-service beneficiaries in 2022, but that the remaining 27.9% The results were published on June 28 in the Journal of the American College of Radiology. The team conducted a study that included data from 123 million 2022 Medicare Part B imaging claims. Of these, 88.5 Nuclear medicine 11.8%
For communities in Illinois and Ohio, where many rural hospitals and outpatient centers serve as lifelines, ensuring timely and accurate radiological services is crucial. Our teleradiology service assists hospitals by streamlining compliance and ensuring accurate reporting.
Medicaid reimbursement, cost-saving, and radiologist recruitment issues are contributing to a drastic reduction of interventional radiology services in Tuscaloosa, home to the University of Alabama, and surrounding communities. Others quoted by the Alabama Daily News report cited Medicaid reimbursement as a factor. at the time.
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%.
Impeded by a smaller number of radiology-applicable quality measures, in 2021 radiologists in radiology-only practices scored significantly lower on relevant Merit-based Incentive Payment System (MIPS) gauges compared with other specialties. of reported measures by radiologists in multispecialty practices were radiology measures.
Radiology administrators are confident that diagnostic and interventional radiology will continue to grow as a profit center through the remainder of this year and beyond, according to MarkeTech Group's Medical Imaging Confidence Index (MICI) report for the fourth quarter of 2023.
Radiological societies have mixed views on the U.S. Centers for Medicare & Medicaid Services (CMS) 2025 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS) final rules. The ACR also supports the Medicare Patient Access and Practice Stabilization Act. “As in 2025.
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%
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.
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.
The Centers for Medicare and Medicaid Services (CMS) federal fiscal year (FY) 2025 Hospital Inpatient Prospective Payment System (IPPS) final rule includes several radiology-relevant topics, according to a detailed summary from the American College of Radiology (ACR). The CMS finalized a 2.9% The CMS finalized a 2.9%
American College of Radiology (ACR) CEO William Thorwarth Jr., Among other healthcare specialties, radiology has been a particularly active area for AI. Centers for Medicare and Medicaid Services (CMS) has also provided some reimbursement through Category I codes and the Hospital Outpatient Prospective Payment System (HOPPS).
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. The hospital's IT department provided a weekly report of patients reporting financial hardship.
As of January 2023, hybrid iterative reconstruction (HIR) -- a blend of FBP and MBIR -- was the state-of-the-art image reconstruction technique, according to Lennart Koetzier; Martin Willemink, PhD; and colleagues, who wrote about the technical principles and clinical prospects for the RSNA journal Radiology. Tim Leiner, MD, PhD.
Centers for Medicare and Medicaid Services (CMS) contracted with the University of California San Francisco (UCSF) to develop a quality measure focused on CT. Administered CT radiation doses are highly variable across patients, radiologists, and hospitals throughout the U.S. In 2019, the U.S. 2 Rebecca Smith-Bindman, MD.
The Health Tech Investment Act will place all FDA-approved AI devices into the Hospital Outpatient Prospective Payment System for a minimum of five years.
Centers for Medicare and Medicaid Services (CMS) in 2023 are "ambiguous" and need to be reconsidered, according to theAmerican Association of Physicists in Medicine (AAPM). Radiation dose and image quality performance measures for CT imaging accepted by the U.S.
As nuclear medicine therapies gain stature compared to nuclear medicine in diagnostic imaging, hospital administrators may be eyeing the potential of adding theranostics services. Reshaping the hospital's nuclear medicine and radiopharmaceutical strategy toward theranostics involves intensive and inclusive planning, Beyder explained at SNMMI.
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