Search results for: CMS
CT, MRI Payments Plummet at Private Practices
In January 2020, the Journal of the American College of Radiology published the results of a study which concluded that Medicare reimbursement to both non-radiologist physicians (NRPs) and radiologists for their in-office MRIs and CT scans has decreased significantly since 2006. The researchers analyzed data they obtained from the U.S. Centers for Medicare and Medicaid…
Read MoreThe Impact of Clinical Decision Support on Utilization of Radiology
As of Jan 1, 2018, the United States healthcare reform requires that physicians implement clinical decision support (CDS) software. This was done to ensure the appropriate use criteria (AUC) are being followed when ordering non-emergency, outpatient imaging tests. The Centers for Medicare and Medicaid Services (CMS) require that physicians use CDS software that has been…
Read MoreRising Insurance Premiums Push Consolidation in Healthcare to the Limit
The state of the health industry continues to undergo digital transformation, comparable to other industries across the globe. Unfortunately, major problems within the health industry, including the consumerization of the health profession, are creating new challenges and risks. The high cost of annual insurance premiums represents one such risk, and as insurance premiums soar to…
Read MoreProtect Future Reimbursement by Using Correct Specialty Designator for IR
Protect your future reimbursement intervention radiology. Despite interventional radiology (IR) having its own specialty code in the Medicare Provider Enrollment, Chain and Ownership System (PECOS), the Society for Interventional Radiology (SIR) maintains that many IR groups are continuing to use code 30. Code 30 is the diagnostic radiology identifier code. In PECOS, the specialty code…
Read MoreHospitals 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…
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