Revenue & Reimbursement

Healthcare reimbursement is payment that a hospital, diagnostic imaging facility, subspecialty department or healthcare providers receive for performing a service. This also includes individual radiologist or cardiologist reimbursement and billing and coding rules for submitting claims.

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Coverage with evidence development: The path forward

Coverage with evidence development, a provisional reimbursement strategy that provides coverage for promising new technologies under the condition that providers collect clinical data, has been touted as a strategy to boost clinical evidence and curb unnecessary healthcare costs. However, much room for improvement remains, and was outlined in a viewpoint published May 6 in JAMA Internal Medicine.

Diagnostic Imaging Services Access Protection Act introduced in Senate

Sen. Ben Cardin (D-Md.) and David Vitter (R-La.) have introduced the Diagnostic Imaging Services Access Protection Act (S. 623). The Senate bill corresponds with H.R. 846, recently introduced in the House of Representatives by Reps. Pete Olson (R-Tex.), Peter Roskam (R-Ill.), John Barrow (D-Ga.), Betty McCollum (D-Minn.), and currently cosponsored by 72 bipartisan members of Congress.

Lawmakers introduce colonoscopy coverage act

Sen. Ben Cardin (D-Md.) and Rep. Richard Neal (D-Mass.) have introduced the Supporting ColoRectal Examination and Education Now (SCREEN) Act (S. 608/H.R. 1320). The act would waive Medicare beneficiary cost-sharing for those colorectal cancer screenings where polyps are removed during colonoscopy.

Example of a curved MPR image reconstruction of entire length of of a coronary artery on a cardiac CT scan to better show calcified and soft plaque burden inside the vessel. The thumbnail dots on the left side of the image are cross sectional views of the vessel. Siemens example on the expo floor.

The CCTA Playbook: A Guide to Coding, Reimbursement and Operations

A compendium of the business intelligence required to launch a CCTA service

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Around the web

Cardiovascular Business
Global shortage of nuclear imaging isotopes may be over

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

Cardiovascular Business
‘A huge win’: CMS significantly increases Medicare payments for cardiac CT

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

Cardiovascular Business
FDA clears AI tool that flags signs of heart disease in chest CT scans

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

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