AuntMinnie

NOVEMBER 8, 2024

Radiology and medical groups are welcoming the introduction of a bipartisan federal bill that aims to mitigate the impact of the finalized Medicare Physician Fee Schedule (MPFS) conversion factor reduction. House of Representatives on October 29 introduced the Medicare Patient Access and Practice Stabilization Act.

Medicare 228

Medicare Medical Radiologist Government 228

AuntMinnie

DECEMBER 19, 2024

Higher Medicaid-to-Medicare reimbursement ratios (MMRR) are linked to increased likelihood of Medicaid patients receiving CT, MR, ultrasound, and x-ray imaging, researchers have reported. Hence, the potentially beneficial aspects of increased Medicaid reimbursement, although not [necessarily] specific to imaging, are broad-based."

Medicare 203

Medicare X-ray Nuclear Medicine Imaging 203

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

Radiology Business

NOVEMBER 5, 2024

CMS is moving forward with a proposal to issue separate reimbursement for radiopharmaceuticals—a change long lobbied for by the imaging industry.

Diagnostic Imaging 274

Diagnostic Imaging Medicare Radiopharmaceuticals Diagnostic 274

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

Radiology Business

FEBRUARY 6, 2025

Payers have reportedly use artificial intelligence algorithms to deny routine requests for PET imaging, instead steering patients to CCTA in some cases.

Medicare 277

Medicare Imaging 277

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 12, 2025

Centers for Medicare and Medicaid Services (CMS), according to a commentary published March 12 in the American Journal of Roentgenology. But last year, the CMS backed reimbursement for screening CTC as part of the Medicare Physician Fee Schedule; the recommendation was included in the rule and went into effect in January.

Medicare 205

Medicare Public Health Radiologist Hospital 205

Radiology Business

MAY 29, 2024

“The existing fee-for-service payment system is not well suited for these services," researchers detailed Tuesday in JAMA Internal Medicine.

Medicare 313

Medicare Imaging 313

Radiology Business

JUNE 7, 2024

New York-based vendor Cleerly recently petitioned CMS to pay for its primary CT software, which assesses scans for signs of coronary artery disease.

Medicare 301

Medicare Radiologist Disease Imaging 301

Health Imaging

OCTOBER 14, 2024

The LA area duo laundered their profits “by buying millions of dollars’ worth of gold bars and coins,” the DOJ says.

Medicare 263

Medicare Clinic Imaging 263

Radiology Business

MARCH 5, 2025

Only about 11% to 18% of eligible patients receive recommended bone density scans, but CT images gathered for other purposes could fill this gap.

Medicare 266

Medicare Imaging 266

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. Increased demand for CCTA interpretations means imaging centers may need additional subspecialized radiologists to handle workflow efficiently.

Medicare 52

Medicare Healthcare Healthcare Computed Tomography 52

AuntMinnie

JULY 1, 2024

Almost a third of imaging exam interpretations are performed by nonradiologists, according to a Harvey L. 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.

Image Interpretation 290

Image Interpretation X-ray Nuclear Medicine Imaging 290

AuntMinnie

MARCH 6, 2025

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. We installed a new state-of-the-art MRI, [which has reduced] scan times and [increased] volumes."

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

Radiology Business

APRIL 6, 2023

The Facilitating Innovative Nuclear Diagnostics Act of 2023 would eliminate barriers to nuclear medicine, supporters charged.

Nuclear Medicine 273

Nuclear Medicine Diagnostic Imaging Diagnostic Medicare 273

Radiology Business

JULY 12, 2024

"The failure of CMS to make virtual supervision permanent is certainly disappointing,” attorney and radiology policy expert Tom Greeson wrote Thursday.

Diagnostic Imaging 274

Diagnostic Imaging Medicare Diagnostic Imaging 274

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

Health Imaging

DECEMBER 4, 2024

The scheme took place over a period of at least seven years, resulting in Medicare being billed for more than $70 million in fraudulent claims for unnecessary scans.

Medicare 257

Medicare Imaging 257

Radiology Business

APRIL 6, 2023

The Medical Imaging & Technology Alliance challenged Medicare's limited coverage for beta-amyloid PET, used to help identify those at risk.

Medicare 246

Medicare Imaging Medical Imaging Medical 246

Radiology Business

JULY 19, 2023

Medicare has refused to reimburse for imaging-based colon cancer screening, which is leading to an income-based gap for those who can and cannot receive the exam.

Medicare 188

Medicare Imaging 188

Radiology Business

JULY 31, 2023

“Imaging for nonspecific low back pain” was listed as the most frequently occurring low-value service, impacting upward of 9.3% of beneficiaries.

Medicare 246

Medicare Imaging 246

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

SEPTEMBER 25, 2023

The findings are derived from an analysis of fee-for-service Medicare data recorded across nearly 600 U.S. health systems.

Medicare 284

Medicare Medical Imaging 284

Radiology Business

NOVEMBER 12, 2024

Pylarify is is a PSMA-targeted PET agent for pinpointing suspected metastasis or recurrence of prostate cancer, which will be impacted by a new Medicare policy change.

Medicare 261

Medicare Imaging 261

Radiology Business

MARCH 14, 2024

The college said it emphasized that “thoughtful assessment” will be needed to address where artificial intelligence belongs on the Medicare payment schedule.

Medicare 284

Medicare Radiology Imaging IT 284

Radiology Business

SEPTEMBER 27, 2023

The federal agency typically grants this designation to allow Medicare beneficiaries broader access to new and innovative drugs.

Medicare 274

Medicare Imaging 274

AuntMinnie

JANUARY 24, 2024

The American College of Radiology (ACR) recently issued a statement of support for the Protecting Access to Medicare Act (PAMA) appropriate use criteria program.

Medicare 182

Medicare Radiologist Clinic Medical 182

Radiology Business

MAY 15, 2023

Lecanemab requires a baseline PET scan and follow-up MRIs after infusions, spelling heavy demand for radiology services, experts wrote in JAMA.

PET Scan 246

PET Scan Medicare Imaging Radiology 246

AuntMinnie

DECEMBER 4, 2023

Patients who need imaging follow-up but don't get it -- due to health-related social needs obstacles -- require support, according to research presented November 29 at the RSNA meeting. The team also evaluated factors associated with imaging hardship and nonadherence. About 30% said imaging was a financial burden, Cuyegkeng reported.

Imaging 312

Imaging Insurance Medicare Radiology 312

Radiology Business

JUNE 4, 2023

The chasm between the two public payment programs has continued to grow since 2012, the Neiman Health Policy Institute reported recently.

Diagnostic Imaging 246

Diagnostic Imaging Medicare Diagnostic Imaging 246

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 273

Hospital Medicare Radiology Imaging 273

AuntMinnie

JUNE 6, 2024

Deep learning-based image reconstruction (DLR) has been a hot topic in CT over the past five years, as researchers and vendors have continuously demonstrated the technology's potential to improve on legacy and filtered back-projection (FBP) reconstruction methods. Accordingly, commercial and research activity has accelerated.

Imaging 278

Imaging Radiation Clinic Medicare 278

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

MARCH 27, 2025

Flyrcadois a unit-dose PET myocardial perfusion imaging (MPI) agent intended for patients with known or suspected coronary artery disease. 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 130

Healthcare Healthcare Medicare Radiopharmaceuticals 130

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