Healthcare Administrative Partners

JULY 27, 2023

The Centers for Medicare and Medicaid Services (CMS) announced its proposed Medicare Physician Fee Schedule (MPFS) rules for 2024, including provisions for the Quality Payment Program (QPP).

Medicare 91

Medicare Radiology IT 91

Radiology Business

DECEMBER 6, 2023

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 109

Medicare Patient Care Radiology IT 109

Imaging Technology

NOVEMBER 3, 2023

Michalski, MD, MBA, FASTRO, Chair of the ASTRO Board of Directors, in response to the final 2024 Medicare Physician Fee Schedule (MPFS) released today by the Centers for Medicare and Medicaid Services (CMS): “ASTRO is deeply disappointed that CMS finalized an additional 2% cut to reimbursement for radiation therapy in today’s MPFS final rule.

Radiation Oncology 101

Radiation Oncology Medicare Radiation Clinic 101

Healthcare Administrative Partners

AUGUST 31, 2023

For many radiology practices, the idea of a positive payment adjustment for participation in the Medicare Quality Payment Program (QPP) has been lost. As we outlined in our recent review of the Medicare 2024 Physician Fee Schedule Proposed Rule , the QPP requirements for successful participation are going to become even stricter.

Medicare 103

Medicare Radiology IT 103

Radiology Business

NOVEMBER 9, 2023

Radiology Business Management Association leaders contend that slashing Medicare reimbursement "ignores overwhelming public wisdom."

Medicare 90

Medicare Radiology 90

Imaging Technology

OCTOBER 18, 2023

milla1cf Wed, 10/18/2023 - 13:29 October 18, 2023 — The Centers for Medicare and Medicaid Services (CMS) announced it will no longer require coverage with evidence development (CED) for beta-amyloid positron emission tomography (PET) dementia care use. ACR staff will continue to update members as further information is released.

Medicare 86

Medicare Diagnostic Patient Care Disease 86

AuntMinnie

JANUARY 9, 2024

physician groups representing radiation oncology have partnered to try to reform Medicare payments and expand patient access to high-quality care. In other news, ASTRO said that chief executive officer Laura Thevenot plans to retire at the end of 2024 after leading the organization since 2002.

Radiation Oncology 62

Radiation Oncology Medicare Radiation Healthcare 62

AuntMinnie

JANUARY 24, 2024

The American College of Radiology (ACR) recently issued a statement of support for the Protecting Access to Medicare Act (PAMA) appropriate use criteria program.

Medicare 70

Medicare Radiologist Clinic Medical 70

Healthcare Administrative Partners

JUNE 5, 2023

Reimbursement under the Medicare Physician Fee Schedule (MPFS) has been consistently reduced for as many years as most of us can remember. Most recently, the 2023 payment rate was cut another 2.08% from the 2022 level, leaving the fee schedule 7.6% lower than it was in 1998 and 11.0% lower than it was in 2008.

Medicare 93

Medicare IT Radiology 93

Diagnostic Imaging

OCTOBER 16, 2023

Various organizations have applauded the decision by the CMS to remove National Coverage Determination (NCD) limitations to coverage for amyloid PET scans, including the limitation of Medicare or Medicaid coverage to one PET scan per a patient’s lifetime.

PET Scan 64

PET Scan Medicare IT 64

Imaging Technology

APRIL 10, 2023

Jacobson , MD, MBA, MPH, FASTRO, Board of Directors Chair, in response to the recent final rule from the Centers for Medicare and Medicaid Services ( CMS ) that revises the Medicare Advantage prior authorization process: "ASTRO applauds this final rule from CMS, which is a major step in reforming the broken, burdensome prior authorization system.

Medicare 87

Medicare Radiation Oncology Radiation Insurance 87

AuntMinnie

SEPTEMBER 7, 2023

Read more on AuntMinnie.com Related Reading: Proposed Medicare rule will not improve radiology reimbursement How to maximize venous duplex ultrasound reimbursement How you can help improve the Medicare Physician Fee Schedule HAP adds new client in Delaware HAP adds MCB Radiology to clientele

Medicare 52

Medicare Radiology Ultrasound Healthcare 52

AuntMinnie

MARCH 11, 2024

President Joseph Biden on March 9 signed into law HR 4366 , the Consolidated Appropriations Act, 2024, which includes Medicare payment relief. The legislation increases the conversion factor for the Medicare Physician Fee Schedule (MPFS) by 1.68% for the remainder of 2024, the American College of Radiology (ACR) said in a statement.

Medicare 40

Medicare Radiology 40

Radiology Business

MAY 30, 2023

A Medicare Administrative Contractor is wrongly rejecting coverage of PET imaging in cases of infection/inflammation, SNMMI reported recently.

Medicare 71

Medicare Imaging 71

AuntMinnie

AUGUST 1, 2023

Read more on AuntMinnie.com Related Reading: How to maximize venous duplex ultrasound reimbursement How you can help improve the Medicare Physician Fee Schedule HAP adds new client in Delaware HAP adds MCB Radiology to clientele Coding changes that will impact radiology practices in 2023

Medicare 52

Medicare Radiology Ultrasound Healthcare 52

AuntMinnie

JULY 14, 2023

Read more on AuntMinnie.com Related Reading: CMS proposes radiology reimbursement cuts, AUC pause for 2024 MPFS CMS to cover Alzheimer's drugs for patients enrolled in registry CMS directs payment determinations to resume under No Surprises Act Last-minute Congressional action reduces Medicare fee cuts for 2023 Quality Payment Program strategy for (..)

Medicare 52

Medicare Radiology 52

Radiology Business

APRIL 11, 2023

The Strengthening Medicare for Patients and Providers Act would provide a permanent annual pay update tied to inflation.

Medicare 77

Medicare Radiologist 77

Healthcare Administrative Partners

NOVEMBER 15, 2022

When the 2023 Medicare Physician Fee Schedule (MPFS) was proposed earlier this year it projected a 4.42% cut to the conversion factor (CF), with radiology facing cuts of between 3 – 4% depending on subspecialty. The final rule moves the cut even deeper, with the 2023 CF set 4.47% lower than the 2022 CF.

Medicare 52

Medicare Radiology IT 52

AuntMinnie

JUNE 13, 2023

Read more on AuntMinnie.com Related Reading: HAP adds new client in Delaware HAP adds MCB Radiology to clientele Coding changes that will impact radiology practices in 2023 Last-minute Congressional action reduces Medicare fee cuts for 2023

Medicare 52

Medicare Healthcare Healthcare Radiology 52

Imaging Technology

APRIL 6, 2023

milla1cf Thu, 04/06/2023 - 17:01 April 6, 2023 — A new study finds that recent increases in Medicare spending on outpatient cancer care at the end of patients’ lives were driven almost entirely by a type of treatment given to fewer than 1 in 5 patients.

Medicare 76

Medicare Radiation Oncology Radiation Communication 76

Radiology Business

JULY 17, 2023

The Medicare Physician Fee Schedule utilizes 2006 cost information to develop practice expense relative values and resulting reimbursements.

Medicare 58

Medicare Radiology 58

JVIR

NOVEMBER 9, 2023

This study describes trends in surgical versus endovascular interventions for treatment of chronic superficial venous disease (SVD) in the Medicare population. Medicare Part B data from 2010-2018 was obtained. Claims for SVD treatment were identified using Healthcare Common Procedure Coding System (HCPCS) codes.

Medicare 40

Medicare Disease Healthcare Healthcare 40

Radiology Business

JULY 19, 2023

Medicare has refused to reimburse for imaging-based colon cancer screening, which is leading to an income-based gap for those who can and cannot receive the exam.

Medicare 55

Medicare Imaging 55

Healthcare Administrative Partners

JANUARY 4, 2023

In response to concern expressed across the spectrum of physicians and their representative organizations, the omnibus spending bill titled the Consolidated Appropriations Act, 2023 (CAA23) passed by Congress on December 23 rolled back a Medicare payment cut of 8.5%.

Medicare 52

Medicare Radiology 52

Radiology Business

APRIL 5, 2024

The American College of Radiology praised the hearing as a potential first step to address inadequate reimbursement levels under the federal payment program.

Medicare 99

Medicare Radiologist Radiology 99

Healthcare Administrative Partners

FEBRUARY 9, 2023

The Medicare Physician Fee Schedule (MPFS) was lowered for 2023 due to a cut of 2.08% in the Conversion Factor (CF) used to determine payment rates.

Medicare 52

Medicare Radiology Hospital Radiologist 52

JVIR

JANUARY 15, 2023

Therefore, the purpose of this analysis was to evaluate the financial impact of intravascular US–guided TVB in an outpatient Medicare population from a healthcare facility perspective, benchmarked against computed tomography (CT)-guided percutaneous needle biopsy (PNB).

Medicare 52

Medicare Computed Tomography Ultrasound Healthcare 52

AuntMinnie

JULY 19, 2023

The lack of Medicare coverage for screening CT colonography appears to affec. AI detects diabetes on abdominal CT performed for CTC screening

Medicare 40

Medicare Disease 40

JVIR

FEBRUARY 21, 2024

Limited data exists on volume trends and specialist involvement among Medicare patients. Historically, these procedures have been performed at bedside by non-radiology provider.

Medicare 40

Medicare Medical Radiology 40

Healthcare Administrative Partners

FEBRUARY 23, 2024

We pay a lot of attention to government regulation in healthcare, especially the Medicare Physician Fee Schedule (MPFS) that influences reimbursement not only from Medicare, but also from other payers since many commercial contracts are tied to the MPFS.

Medicare 104

Medicare Government Radiology Healthcare 104

Radiology Business

MARCH 28, 2024

With the recent adjustment, the conversion factor is now 1.77% lower than it was in 2023, at $33.2875, consulting firm Healthcare Administrative Partners notes.

Medicare 80

Medicare Radiology Healthcare Healthcare 80

Radiology Business

MAY 8, 2024

Staffers with the Centers for Medicare & Medicaid Services were "attentive to the discussion and requested supporting documentation," ACR reported.

Medicare 85

Medicare Radiologist 85

Radiology Business

APRIL 26, 2024

Congressional budget requirements mean that any pay bump to one fee-for-service provider type necessitates balancing cuts to others.

Medicare 75

Medicare Radiologist 75

Radiology Business

MAY 3, 2024

Medicare Administrative Contractors have “consistently denied coverage" for CT cerebral perfusion analysis, used to assess for signs of stroke.

Medicare 91

Medicare Radiologist 91

Radiology Business

FEBRUARY 12, 2024

Radiology advocates said Friday that they look forward to working with the six senators, who believe Congress "must make changes" to the flawed system.

Medicare 84

Medicare Radiology 84

Radiology Business

JANUARY 16, 2024

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.

Medicare 82

Medicare Radiologist 82

Health Imaging

APRIL 29, 2024

The suit claims the group wrongfully billed CMS for over $6 million in image reads that did not qualify for Medicare reimbursement due to the subpar computer monitors used to view the studies.

Medicare 90

Medicare Radiology Imaging 90