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 128

Medicare Patient Care Radiology IT 128

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 105

Medicare Hospital Insurance Disease 105

Healthcare Administrative Partners

NOVEMBER 15, 2024

This is slightly more of a cut than had been predicted in the Medicare Physician Fee Schedule (MPFS) Proposed Rule that was issued in July. As we reported in our analysis of the Proposed Rule , this reduction in payments continues a trend that has seen the Medicare fee schedule reduced by nearly 10% over the past 10 years.

Medicare 87

Medicare 87

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 91

Medicare Medical Radiologist Government 91

Radiology Business

NOVEMBER 9, 2023

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

Medicare 111

Medicare Radiology 111

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 111

Medicare Government 111

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 107

Medicare Imaging Medical 107

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 110

Medicare Medical 110

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 105

Medicare Radiation Radiology Medical 105

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 105

Medicare Radiology Interventional Radiology Nuclear Medicine 105

Diagnostic Imaging

JULY 25, 2023

Noting that the Medicare conversion factor in 2024 could be lower than the rate in 1993, this author discusses three key issues that need to be addressed by government leaders in order to ensure equitable Medicare reimbursement for radiologists and other physicians.

Medicare 98

Medicare Government Radiologist 98

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 105

Medicare Inpatient Hospital Radiology 105

Imaging Technology

NOVEMBER 3, 2023

Michalski, MD, MBA, FASTRO, Chair of the ASTRO Board of Directors, in response to the final 2024 Medicare Physician Fee Schedule (MPFS) released today by the Centers for Medicare and Medicaid Services (CMS): “ASTRO is deeply disappointed that CMS finalized an additional 2% cut to reimbursement for radiation therapy in today’s MPFS final rule.

Radiation Oncology 111

Radiation Oncology Medicare Radiation Clinic 111

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

Healthcare Administrative Partners

JULY 25, 2024

The 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 nearly 10% over the past 10 years.

Medicare 84

Medicare Radiology IT Interventional Radiology 84

Imaging Technology

OCTOBER 18, 2023

milla1cf Wed, 10/18/2023 - 13:29 October 18, 2023 — The Centers for Medicare and Medicaid Services (CMS) announced it will no longer require coverage with evidence development (CED) for beta-amyloid positron emission tomography (PET) dementia care use. ACR staff will continue to update members as further information is released.

Medicare 103

Medicare Patient Care Diagnostic Disease 103

Imaging Technology

APRIL 10, 2023

Jacobson , MD, MBA, MPH, FASTRO, Board of Directors Chair, in response to the recent final rule from the Centers for Medicare and Medicaid Services ( CMS ) that revises the Medicare Advantage prior authorization process: "ASTRO applauds this final rule from CMS, which is a major step in reforming the broken, burdensome prior authorization system.

Medicare 98

Medicare Radiation Oncology Radiation Insurance 98

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 88

Medicare IT 88

Healthcare Administrative Partners

NOVEMBER 8, 2023

The Centers for Medicare and Medicaid Services (CMS) announced its Medicare Physician Fee Schedule (MPFS) Final Rule for 2024 , including provisions for both Medicare reimbursement and the Quality Payment Program (QPP).

Medicare 86

Medicare Radiology IT Interventional Radiology 86

Imaging Technology

JUNE 14, 2024

Since then, the Centers for Medicare and Medicaid Services ( CMS ) introduced several new policies that improved prior authorization under Medicare Advantage; the new bill would address unresolved issues, such as establishing a real-time process for coverage decisions.

Medicare 98

Medicare Radiation Oncology Radiation Insurance 98

Healthcare Administrative Partners

AUGUST 31, 2023

For many radiology practices, the idea of a positive payment adjustment for participation in the Medicare Quality Payment Program (QPP) has been lost. As we outlined in our recent review of the Medicare 2024 Physician Fee Schedule Proposed Rule , the QPP requirements for successful participation are going to become even stricter.

Medicare 86

Medicare Radiology IT 86

Imaging Technology

APRIL 6, 2023

milla1cf Thu, 04/06/2023 - 17:01 April 6, 2023 — A new study finds that recent increases in Medicare spending on outpatient cancer care at the end of patients’ lives were driven almost entirely by a type of treatment given to fewer than 1 in 5 patients.

Medicare 95

Medicare Radiation Oncology Radiation Communication 95

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 111

Medicare Radiology 111

Healthcare Administrative Partners

MARCH 27, 2024

With 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. Effective when it was signed by the President on March 9, 2024 the CAA 24 contained several provisions that benefitted physician reimbursement:

Medicare 73

Medicare Radiology IT 73

Diagnostic Imaging

JULY 12, 2024

In newly issued proposals addressing changes to coverage for Medicare services in 2025, the Centers for Medicare and Medicaid Services (CMS) announced its intent to provide coverage of computed tomography colonography (CTC) for Medicare beneficiaries in 2025.

Computed Tomography 134

Computed Tomography Medicare Radiology IT 134

Diagnostic Imaging

OCTOBER 15, 2024

Four Medicare administrative contractors (MACs) will provide coverage of AI-enabled coronary plaque analysis and quantitative coronary tomography assessment of coronary computed tomography angiography (CCTA) for Medicare beneficiaries starting in November 2024.

Medicare 70

Medicare Computed Tomography 70

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 64

Medicare Radiology IT 64

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 126

Medicare Radiologist Radiology 126

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 140

Medicare Hospital Radiology 140

Radiology Business

JUNE 3, 2024

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

Medicare 122

Medicare Radiology IT 122

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 111

Diagnostic Imaging Medicare Radiopharmaceuticals Diagnostic 111

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 119

Medicare Healthcare Healthcare 119

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 135

Medicare Radiology Radiologist 135

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 126

Medicare Imaging 126

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 122

Medicare Radiology 122

Radiology Business

SEPTEMBER 25, 2024

Scheduling conflicts and “lingering disagreements” are delaying potential changes to the MPFS, along with a radiologist-supported bill to modify the No Surprises Act.

Medicare 111

Medicare Radiologist 111

Radiology Business

SEPTEMBER 16, 2024

Continued declines in reimbursement and mounting administrative burdens are combining to weigh down members of the specialty, RP wrote in recent comments.

Medicare 111

Medicare Radiology 111