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.

‘Concerning’ data connect industry payments to cardiologists with medical device use
U.S. physicians often receive payments from medical device manufacturers and pharmaceutical companies. New research in JAMA found a connection between receiving such payments and using specific devices—should the industry be concerned?
Medicare reimbursement down 29% for cardiologists, 58% for heart surgeons
Physician payments are down slightly across the board, but they've fallen significantly for a handful of specialties. Researchers examined the long-term impact this trend could have on patient care.
Why the business side of cardiology was a key focus at ACC.24
Alison Bailey, MD, co-chair of the business of cardiology sessions at ACC.24, emphasized that reimbursement cuts can have a long-term negative impact on patient.
New ACC President Cathie Biga wants to improve quality reporting in cardiology
Biga, who originally trained as a nurse, specializes in the business side of cardiology. She also emphasized the increasing importance of AI and other new technologies.
New Jersey cardiologist faces up to 10 years in prison for $1.9M fraud scheme
The doctor, 76, admitted to billing multiple insurance providers for office visits that never happened at all.

Mark Rabbat, MD, director of cardica CT at Loyola, discusses legislative advocacy efforts by SCCT to gain wider reimbursement for cardiac CT. #SCCT #SCCT23 #SCCT2023

SCCT hopes to increase cardiac CT reimbursements through advocacy

Mark Rabbat, MD, discusses the Society of Cardiovascular Computed Tomography's efforts to make an impact by lobbying in Washington.

October 3, 2023

Video of Denise Garris, ASE regulatory consultant and principal of the Korris Group, explaining how reimbursements from insurance andMedicare work to pay or cardiac ultrasound exams. #ASE #ASE360 #ASE23 #ASE2023 #healthcarereimbursment

Understanding reimbursements and coding for echocardiography

"I think everyone would agree that the current fee-for-service model is not working appropriately and there needs to be a fix," regulatory consultant Denise Garris explained in a new interview.

September 13, 2023

Video of ASE lobbyists explaining issues with Medicare funding policy reform in Washington DC.

Key government policies impacting cardiac ultrasound

Two experienced lobbyists who represent the American Society of Echocardiography detailed some of the biggest issues they are working on in Washington.

August 21, 2023

Video of American Society of Echocardiography (ASE) leadership explaining how the society recognized early the need for standardization and training for on and stepped forward to offer training for various point of care ultrasound (POCUS) users and to bring them into its membership. Image shows a critical care COVID patient being scanned with a Philips Lumify point-of-care ultrasound system with doctors on screen helping guide the user. #POCUS #ASE #ASE2023

ASE training clinicians as point-of-care ultrasound grows

The American Society of Echocardiography recognized the lack of training and standardization for point-of-care ultrasound users and decided to do something about it.

July 12, 2023

Stephen Little, MD, discusses trends in echocardiography at ASE 2023. #ASE23 #ASE2023 What is new in cardiac ultrasound.

Back in the spotlight: Exploring echocardiography's revival

American Society of Echocardiography President Stephen Little, MD, says several trends and technologies are coming together at once, leading to renewed interest in echo.

July 10, 2023

The Society for Cardiovascular Angiography and Interventions (SCAI), American College of Cardiology (ACC) and Heart Rhythm Society (HRS) have asked the U.S. Centers for Medicare and Medicaid Services (CMS) to clarify a key detail related to the national coverage determination (NCD) for percutaneous left atrial appendage closure (LAAC).

Interventional cardiologists, electrophysiologists ask CMS to clarify policy after unexpected denials

Three cardiology societies have reached out to CMS with questions about how MACs are interpreting a policy related to shared decision-making.

July 6, 2023

Nearing a ‘breaking point’: Cardiologists support legislation designed to mitigate Medicare cuts to office-based services

These latest cuts could be a "breaking point" for physicians, according to a new letter to lawmakers.

June 2, 2023

Sam Jones, MD, explains why CMS reduced payments for EP ablation and how it will negatively impact electrophysiology. #HRS #HRS2023 #EPeeps #EPlab #Medicare

Making sense of the huge Medicare reimbursement cuts in electrophysiology

Samuel Jones, MD, examines the large reimbursement reductions in cardiac ablations and what the impact might be on access to care in EP labs.

May 31, 2023

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What does radiology have to do with climate change?

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."

Revenue & Reimbursement

‘Concerning’ data connect industry payments to cardiologists with medical device use

Medicare reimbursement down 29% for cardiologists, 58% for heart surgeons

Why the business side of cardiology was a key focus at ACC.24

New ACC President Cathie Biga wants to improve quality reporting in cardiology

New Jersey cardiologist faces up to 10 years in prison for $1.9M fraud scheme

Around the web