Radiology Business

MAY 21, 2024

“Medicare Advantage undermines my expertise as a physician and disregards my patients’ unique medical needs," said radiation oncologist Todd E. Hlavaty, MD.

Medicare 101

Medicare Radiation Radiology Medical 101

Diagnostic Imaging

JULY 25, 2023

Noting that the Medicare conversion factor in 2024 could be lower than the rate in 1993, this author discusses three key issues that need to be addressed by government leaders in order to ensure equitable Medicare reimbursement for radiologists and other physicians.

Medicare 98

Medicare Government Radiologist 98

Radiology Business

JANUARY 29, 2024

Such insurers are slated to collect more than $7 trillion over the next decade, with MA now accounting for over 50% of all Medicare enrollment.

Medicare 104

Medicare Insurance 104

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 120

Medicare Patient Care Radiology IT 120

Healthcare Administrative Partners

NOVEMBER 8, 2023

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

Medicare 93

Medicare Radiology IT Interventional Radiology 93

Imaging Technology

JUNE 14, 2024

Since then, the Centers for Medicare and Medicaid Services ( CMS ) introduced several new policies that improved prior authorization under Medicare Advantage; the new bill would address unresolved issues, such as establishing a real-time process for coverage decisions.

Medicare 88

Medicare Radiation Oncology Radiation Insurance 88

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 98

Radiation Oncology Medicare Radiation Clinic 98

Radiology Business

NOVEMBER 9, 2023

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

Medicare 101

Medicare Radiology 101

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 83

Medicare Diagnostic Patient Care Disease 83

Healthcare Administrative Partners

MARCH 27, 2024

With passage of the Consolidated Appropriations Act, 2024 (CAA 24) , we finally learned the rates physicians will be paid for Medicare services during the remainder of 2024. Effective when it was signed by the President on March 9, 2024 the CAA 24 contained several provisions that benefitted physician reimbursement:

Medicare 103

Medicare Radiology IT 103

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 77

Medicare Radiology IT 77

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 93

Medicare Radiology IT 93

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 64

Radiation Oncology Medicare Radiation Healthcare 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 84

Medicare Radiation Oncology Radiation Insurance 84

AuntMinnie

JULY 10, 2024

Centers for Medicare and Medicaid Services (CMS) proposed a new reimbursement plan July 10 for diagnostic PET scans that would provide separate payments for radiopharmaceuticals, as well as an extra payment for hospitals when they use domestically produced technetium-99m (Tc-99m).

Medicare 52

Medicare Nuclear Medicine Radiopharmaceuticals Imaging 52

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 72

Medicare Radiologist Clinic Medical 72

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 69

PET Scan Medicare IT 69

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 82

Medicare Imaging 82

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 79

Medicare IT Radiology 79

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

Diagnostic Imaging

JULY 12, 2024

In newly issued proposals addressing changes to coverage for Medicare services in 2025, the Centers for Medicare and Medicaid Services (CMS) announced its intent to provide coverage of computed tomography colonography (CTC) for Medicare beneficiaries in 2025.

Computed Tomography 129

Computed Tomography Medicare Radiology IT 129

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

APRIL 11, 2023

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

Medicare 87

Medicare Radiologist 87

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 73

Medicare Radiation Oncology Radiation Communication 73

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

JULY 10, 2024

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.

Medicare 139

Medicare Hospital Radiology 139

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

Radiology Business

JULY 17, 2023

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

Medicare 63

Medicare Radiology 63

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

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 63

Medicare Imaging 63

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

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

JULY 12, 2024

"The failure of CMS to make virtual supervision permanent is certainly disappointing,” attorney and radiology policy expert Tom Greeson wrote Thursday.

Diagnostic Imaging 108

Diagnostic Imaging Medicare Diagnostic Imaging 108

Radiology Business

JUNE 7, 2024

New York-based vendor Cleerly recently petitioned CMS to pay for its primary CT software, which assesses scans for signs of coronary artery disease.

Medicare 118

Medicare Radiologist Disease Imaging 118

Radiology Business

JULY 10, 2024

The Radiology Business Management Association slammed the proposal Wednesday, contending it will have a "direct and detrimental impact on patient access."

Patient Care 107

Patient Care Medicare Radiology IT 107

Radiology Business

MAY 29, 2024

“The existing fee-for-service payment system is not well suited for these services," researchers detailed Tuesday in JAMA Internal Medicine.

Medicare 118

Medicare Imaging 118