Radiology Business

MAY 19, 2024

Reforms could include creating more sustainable payment updates to ensure radiologists can continue owning and operating practices and rethinking how Medicare measures quality.

Medicare 306

Medicare Radiologist 306

Radiology Business

DECEMBER 6, 2023

RBMA President Kit Crancer said continued cuts will result in Medicare patients losing access to care when health systems and providers determine it is no longer economical.

Medicare 321

Medicare Patient Care Radiology IT 321

AuntMinnie

AUGUST 7, 2024

Upcoming Medicare reimbursement may change that. Centers for Medicare and Medicaid Services (CMS) to receive Medicare reimbursement beginning in 2025. Availability gaps Research has shown that Medicare fee-for-service beneficiaries who reside in communities with annual per capita income of $100,000 or more are 5.7

Medicare 264

Medicare Hospital Insurance Disease 264

Radiology Business

JANUARY 29, 2024

Such insurers are slated to collect more than $7 trillion over the next decade, with MA now accounting for over 50% of all Medicare enrollment.

Medicare 289

Medicare Insurance 289

Radiology Business

NOVEMBER 9, 2023

Radiology Business Management Association leaders contend that slashing Medicare reimbursement "ignores overwhelming public wisdom."

Medicare 278

Medicare Radiology 278

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

Radiology Business

AUGUST 14, 2024

"Our experts believe there’s a high probability that the final rule governing next year's Medicare payments will be less severe than the current proposal," CFO Mark Stolper told investors.

Medicare 278

Medicare Government 278

Radiology Business

MARCH 18, 2025

MedPAC members have highlighted the need to link physician pay increases with the Medicare Economic Index, a measure or practice cost inflation.

Medicare 223

Medicare Radiologist 223

Radiology Business

OCTOBER 27, 2024

Providers have the potential to earn a Medicare payment of $950 if the software is deployed in medically appropriate scenarios.

Medicare 268

Medicare Imaging Medical 268

Radiology Business

SEPTEMBER 9, 2024

"We strongly urge CMS to acknowledge the negative effects of the proposed payment cut on Medicare beneficiaries in the final rule," the American Medical Association wrote in a comment letter shared Sept.

Medicare 275

Medicare Medical 275

Radiology Business

MAY 21, 2024

“Medicare Advantage undermines my expertise as a physician and disregards my patients’ unique medical needs," said radiation oncologist Todd E. Hlavaty, MD.

Medicare 264

Medicare Radiation Radiology Medical 264

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

AUGUST 7, 2024

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

Medicare 264

Medicare Inpatient Hospital Radiology 264

Radiology Business

DECEMBER 18, 2024

We are deeply disappointed that Congress failed to fully remedy the looming 2025 Medicare payment cut to physician practices," the MGMA said Tuesday.

Medicare 264

Medicare 264

AuntMinnie

JANUARY 31, 2025

The new MRI Safety procedures are as follows: CPT Code Description RVU Value Medicare Fee 76014 MR safety implant and/or foreign body assessment, initial 15 minutes G - 0.33 $10.67 Medicare Fee represents the national level using the CF of $32.3465 in effect as of this writing. 76015 Add-on Each additional 30 minutes G - 1.59 $51.43

Interventional Radiology 283

Interventional Radiology Diagnostic Radiology Medicare 283

Radiology Business

JANUARY 16, 2025

The American Medical Association this week criticized cuts to physician pay, while Medicare Advantage plans are slated to see a 4.33% boost.

Medicare 236

Medicare Radiologist Medical 236

AuntMinnie

FEBRUARY 26, 2025

The success of radiologists participating in the Medicare Merit-Based Incentive Payment System (MIPS) varies according to practice type and size, with individual radiologists being at a disadvantage, researchers have reported.

Medicare 272

Medicare Radiologist Patient Care Radiology 272

Radiology Business

FEBRUARY 3, 2025

Led by Greg Murphy, MD, House representatives are pushing the Medicare Patient Access and Practice Stabilization Act.

Medicare 233

Medicare 233

Radiology Business

APRIL 11, 2023

The Strengthening Medicare for Patients and Providers Act would provide a permanent annual pay update tied to inflation.

Medicare 262

Medicare Radiologist 262

Radiology Business

MAY 30, 2023

A Medicare Administrative Contractor is wrongly rejecting coverage of PET imaging in cases of infection/inflammation, SNMMI reported recently.

Medicare 244

Medicare Imaging 244

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

Healthcare Administrative Partners

OCTOBER 28, 2024

We covered the major points of the 2025 Medicare Physician Fee Schedule (MPFS) Proposed Rule when it came out in July, but while we’re waiting for the Final Rule to be published later in the year let’s look at another provision in the MPFS that we’ve been watching – the locality-specific payment adjustment known as the Geographic Practice Cost Index (..)

Medicare 87

Medicare IT 87

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. Medicare reimbursement levels are set by individual states, and they vary across the U.S., The research included data from 4.9 Nuclear medicine 0.76

Medicare 203

Medicare X-ray Nuclear Medicine Imaging 203

AuntMinnie

JANUARY 31, 2025

The Medical Group Management Association (MGMA) has urged swift passage of the Medicare Patient Access and Practice Stabilization Act of 2025 introduced before the 119th U.S. On January 1, a 2.83% Medicare reimbursement cut went into effect for physicians due to a rule finalized by the U.S. Gregory Murphy, MD (R-NC).

Medicare 167

Medicare Insurance Government Healthcare 167

Radiology Business

JULY 29, 2024

New American College of Radiology CEO Dana Smetherman, MD, discusses the impact of reimbursement cuts, issues with staffing costs and prior authorization.

Medicare 279

Medicare Radiology 279

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

Radiology Business

APRIL 5, 2024

The American College of Radiology praised the hearing as a potential first step to address inadequate reimbursement levels under the federal payment program.

Medicare 315

Medicare Radiologist Radiology 315

Radiology Business

JULY 28, 2024

New American College of Radiology CEO Dana Smetherman, MD, said the 2024 election makes it very unlikely there will be any movement of Medicare reform this year. She also discusses the impact of reimbursement cuts, issues with staffing costs and prior authorization.

Medicare 162

Medicare Radiology IT 162

Radiology Business

JULY 10, 2024

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 350

Medicare Hospital Radiology 350

Radiology Business

JUNE 3, 2024

The ACR shared its concerns about the lack of participation as the deadline approaches.

Medicare 305

Medicare Radiology IT 305

AuntMinnie

JANUARY 24, 2025

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). This aligns with CMS goal that every Medicare beneficiary and most Medicaid beneficiaries will be in a value-based care arrangement by 2030.

Imaging 317

Imaging Mammogram Insurance Medicare 317

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 279

Diagnostic Imaging Medicare Radiopharmaceuticals Diagnostic 279

Radiology Business

AUGUST 8, 2024

The college's concerns came in response to a recent RFI from U.S. Diana DeGette, D-Colo., and Larry Bucshon, MD, R-Ind., on ways to modify healthcare policy.

Medicare 298

Medicare Healthcare Healthcare 298

AuntMinnie

DECEMBER 20, 2024

Police suspected the outpatient imaging center was a front for an illegal cannabis cultivation facility, according to news reports.

MRI 279

MRI Medicare Radiology Technologist Radiologist 279

Radiology Business

AUGUST 31, 2023

This occurred during a period when radiologists took on an increasing workload, with relative value units leaping 13.1% during the 16-year study period.

Medicare 337

Medicare Radiology Radiologist 337

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 317

Medicare Imaging 317

Radiology Business

SEPTEMBER 30, 2024

Specialty societies such as the American College of Radiology are asking lawmakers to reform the federal payment program to end years of negative updates.

Medicare 306

Medicare Radiology 306