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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
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 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.
Its also going to save Medicare money. It aims to incorporate parts of the Radiation Oncology Alternative Payment Model proposed by Medicare to change radiation oncology payment from per fraction to per patient. We think its good for medicine and think its good for patients. Corso has served in several roles for ASTRO.
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.
Radiation oncology organizations have come together in an effort to reform Medicare payments for radiation therapy services. The alliance comes in the wake of cuts to Medicare payments for radiation therapy services, which the organizations say threatens patient access to cancer care.
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%
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 Advantage undermines my expertise as a physician and disregards my patients’ unique medical needs," said radiation oncologist Todd E. Hlavaty, MD.
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.
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. Reporting type and practice size were most predictive of program performance.
“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.
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.
Reforms could include creating more sustainable payment updates to ensure radiologists can continue owning and operating practices and rethinking how Medicare measures quality.
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.
The Radiology Business Management Association (RBMA) and the Radiology Patient Action Network (RPAN) say the radiology field has reached a crossroads from the ripple effects of Medicare cuts, workforce shortages, and other hurdles.
"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.
"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.
MA cancer patients undergoing radiation therapy tallied higher spending and longer average treatment duration compared to their counterparts on traditional Medicare.
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.
ACR, the American Society of Neuroradiology and the Society of Interventional Radiology voiced their concerns in a recent letter to leaders in the U.S. House and Senate.
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. The completeness criteria remain at 75%.
Between 2015 and 2022, nearly 3,500 physician practices that provide radiology services disappeared from the Medicare Provider Data Log, according to the Neiman Health Policy Institute.
The American College of Radiology (ACR), Society for Interventional Radiology and the Washington State Radiological Society have submitted comments to the Washington State Health Care Authority (HCA) challenging its noncoverage policy for vertebroplasty, kyphoplasty, and sacroplasty (VKS).
Societies representing neuro, interventional and spine radiologists are concerned 3 MACs do not understand the nuances of a key minimally invasive pain procedure.
Continued declines in reimbursement and mounting administrative burdens are combining to weigh down members of the specialty, RP wrote in recent comments.
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. Radiology Specialists (6.7%).
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