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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.
Although relatively few of these changes will impact radiology practices, its essential to know what they are and adjust your practice systems accordingly. 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
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. Among the radiologists, 74.8% participated in group reporting, 4.3% as an individual, and 20.9%
Reforms could include creating more sustainable payment updates to ensure radiologists can continue owning and operating practices and rethinking how Medicare measures quality.
and colleagues are proposing the Medicare Patient Access and Practice Stabilization Act, which would halt a 2.8% Greg Murphy, MD, R-N.C., reduction to the conversion factor.
“After three consecutive years of Medicare payment reductions, healthcare providers are at a breaking point," 32 bipartisan members of the Senate wrote recently.
Lawmakers held a hearing on this topic April 11, titled “Bolstering Chronic Care through Medicare Physician Payment," featuring testimony multiple medical specialty societies.
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%
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.
Private equity acquisition is on the rise in radiology, according to an analysis published March 5 in the American Journal of Roentgenology. While healthcare as a whole has attracted private equity companies, radiology has become an area of focus. of all radiologists nationally in 2023 were private equity-employed.
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. and the U.K.,
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.
The American College of Radiology praised the hearing as a potential first step to address inadequate reimbursement levels under the federal payment program.
Attrition doesn’t appear to be a significant contributing factor in the shortage of radiologists in the U.S., according to research published July 23 in Radiology. Centers of Medicare and Medicaid Services (CMS) to compare national workforce attrition rate of radiologists with that of other specialists. Radiologists: 13.2%
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. In contrast, those in multispecialty practices scored higher in the U.S.
Growth in imaging work relative value units (wRVUs) is outpacing the growth of radiologists and the number of imaging services in the U.S. Medicare population, a study presented at RSNA 2023 found. He also talked about potential ways radiology departments across the country can help address these issues.
Radiologist consolidation into larger and/or multispecialty practices may foster subspecialization and improve negotiation power, according to a study published June 5 in the American Journal of Roentgenology. Centers for Medicare and Medicaid Services (CMS) from between 2014 and 2023 to identify all U.S. Radiology-only practices -31.8%
Societies representing neuro, interventional and spine radiologists are concerned 3 MACs do not understand the nuances of a key minimally invasive pain procedure.
Unfortunately, the imbalance in available MIPS radiology measures is worsening, study co-author Lauren Nicola, MD, CEO of Triad Radiology Associates, said Wednesday.
It should go without saying, but I’ll say it anyway: these are my opinions, formed from the combination of my biases, my experience as a radiologist since beginning residency 10 years ago, and my many conversations with radiologists across the country. Nationwide, the supply of radiologists is basically flat. Six weeks?!
“The current Medicare physician payment system is increasingly unsustainable and the necessary policy reforms can no longer be delayed without severe repercussions," radiologists say.
Ultrasound use has shifted over the past decade, including whether radiologists, surgeons, or nonphysicians practitioners perform the exams, a study published on December 13 in the American Journal of Roentgenology found. The share of billed ultrasound services increased for radiologists from 31.6% in 2009 to 34.2% to 19.6%).
Radiology practices often participate in the Medicare Quality Payment Program (QPP) through the Merit-based Incentive Payment System (MIPS). The MIPS Quality performance category scoring has been modified for 2025, which could have a positive effect for radiology practices. This would include many diagnostic radiologists.
The ability to have radiologists work at locations remote from the patient exam site can be a great boon to efficiency and turnaround time. Medicare regulations Medicare first issued its Place of Service (POS) reporting regulations with an effective date of April 1, 2013. Sandy Coffta.
More than three-quarters of those reached said they disagree with reducing reimbursement to rads under the 2024 fee schedule, RBMA and MITA reported Thursday.
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. The study was published April 2 in the Journal of the American College of Radiology. Neiman Health Policy Institute (HPI).
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.
Physician advocacy groups including the RBMA, ASTRO, MGMA and AMA criticized the final rule, with the latter calling it a "recipe for financial instability."
Greg Murphy, MD, R-N.C., first introduced the Preserving Seniors' Access to Physicians Act in December and hopes the House will consider the proposal this week.
Scheduling conflicts and “lingering disagreements” are delaying potential changes to the MPFS, along with a radiologist-supported bill to modify the No Surprises Act.
Physician advocacy groups criticized the decision while holding out hope that lawmakers could remedy the 3.4% cut to the conversion factor in the future.
Unless mitigating measures are taken, the current supply of radiologists in the U.S. The investigators' work was published in two studies on February 12 in the Journal of the American College of Radiology. A future radiologist shortage has been a point of concern for a number of years, the investigators noted.
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