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.

Coding for Clarity: Echocardiography Gains Two New CPT Add-On Codes

The approval of two new Current Procedural Terminology (CPT) codes acknowledges echocardiographic myocardial strain imaging and myocardial contrast perfusion echocardiography as emerging technologies, often a necessary step before a code is promoted to payable status.

January 31, 2017

Health system agrees to pay nearly $1 million for cardiologist’s alleged improper Medicare billing

A health system in Philadelphia agreed to pay nearly $1 million to resolve allegations that a cardiologist improperly billed Medicare for unnecessary services, Philadelphia Business Journal reports.

November 8, 2016

Waiting for Closure: Left Atrial Appendage Occlusion & Reimbursement Policy

Months after the U.S. FDA approved a device with the potential to close the source of many atrial fibrillation-related strokes, hospitals, cardiologists and patients find themselves in a holding pattern increasingly common for newly emerging therapies: They are waiting for the CMS to issue a national coverage determination for LAA occlusion.

January 13, 2016

Ohio cardiologist is sentenced to 20 years for overbilling

Harold Persaud, MD, a cardiologist from Ohio, was sentenced to 20 years in prison on Dec. 18 for overbilling Medicare and private insurance companies by $29 million between 2006 and 2012. The Department of Justice announced the sentence on Dec. 18.

December 21, 2015

Jury convicts Ohio cardiologist of overbilling Medicare by $7.2 million

A jury in Ohio convicted cardiologist Harold Persaud of performing unnecessary tests and procedures and overbilling Medicare and private insurers by $7.2 million.

September 30, 2015

Probe puts billing for peripherals under microscope

Peripheral interventions by the cardiologist who captured headlines for billing Medicare $18 million are now under scrutiny, which prompted the New York Times to investigate the upsurge in peripheral stenting.

January 30, 2015

Accreditation for Cardiovascular Excellence (ACE) speaker Sheree Schroeder presents: A team based approach for billing

ACE is proud to be invited as a guest speaker at the 10th annual Complex Cardiovascular Catheter Therapeutics: Advanced Endovascular and Coronary Intervention Global Summit (C3), taking place June 23-27, 2014 at the Hilton Bonnet Creek, Orlando, Florida. Sheree Schroeder, MSN, RN, RDCS, FASE,  ACE's Director of Quality Review Services , will be speaking on the topic "No Margin, No Mission" A Team Based Approach for Billing.

May 2, 2014
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

March 2, 2009

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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