Hospitals Face $252.6B in Cuts for Medicare and Medicaid Payments
Prudent radiology professionals working in hospitals know how important it is to stay on top of developments in their field so they can deliver the best service to patients. This includes keeping current on technological advances and new protocols for diagnosing and assessing patients, as well as ongoing legislative and regulatory changes. If you’re like…
Read MoreUnitedHealthcare is Steering Patients Away from Hospitals to Cheaper Care
UnitedHealthcare has a new policy. It is the Site-of-Service Medical Necessity Review Policy. This new policy essentially shifts the burden of proving that a hospital site is necessary for the outpatient procedure a patient is having performed onto the patient and his or her physician/surgeon. Consequently, this new Site-of-Service Medical Necessity Review Policy just adds…
Read MoreRadiologists, It’s Time to Call Your Member in Congress!
Your government is here to help. Under the guise of “Patients over Paperwork,” the Centers for Medicare & Medicaid Services has proposed a $5 billion boost to funding for reimbursement for care-related evaluation and management (E/M). Unfortunately the latest government effort to ease administration burdens on physicians will cost radiologists $450 million in one year…
Read MoreCMS Adds Barriers to Medicare, Medicaid, and CHIP Disbursements
No more “pay and chase.” On November 4, 2019, the Centers for Medicare and Medicaid Services (CMS) will begin enforcing a recently issued final rule that empowers CMS to revoke or deny enrollment in provider programs for Medicare, Medicaid, and CHIP based on questionable business associations. There are no databases of questionable businesses. CMS will…
Read MoreBreast Cancer Awareness Month: Q&A with Dr. Patricia Krakos of Texas Radiology Associates
Dr. Patricia Krakos of Texas Radiology Associates, founding member of radiologist-owned alliance Collaborative Imaging, loves making a difference in people’s lives, especially women. This desire to help women began in 1992 when she started practicing breast imaging. This also means Dr. Krakos isn’t a stranger to breast cancer diagnosis, which has also affected her personal…
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