Regulatory

Malpractice Premiums: MIA in the Health Care Debate

Health reform efforts have developed into a heated and contentious debate.

Radiology Business Journal, December 01, 2009

Alternative Imaging Business Structures and Arrangements: What’s Legal?

The changing regulatory landscape for imaging business structures has left considerable uncertainty about which arrangements are acceptable in the eyes of the law

Radiology Business Journal, December 01, 2009

Grassroots Coalition Puts Collaboration Above Competition

The rival groups had targeted the same pool of patients in their marketing efforts, positioning their respective imaging facilities, in one of the most competitive markets in the country, as the best that the Big Apple had to offer.

ImagingBiz Newsletter, November 18, 2009

ACR Economic Update: What to Expect From CMS in 2010

While health reform is still a legislative preoccupation, where regulatory agencies are concerned, the train has left the station, according to Maurine Spillman-Dennis, MPH, MBA. Spillman-Dennis is a senior director in the economics and health policy division of the ACR®, and she presented an economic update from the college at the RBMA Fall Educational Conference on October 12, 2009, in Phoenix, Arizona.

ImagingBiz Newsletter, November 18, 2009

Sunshine Bill Renews Focus on Conflicts of Interest

While health care players and politicians have long debated the issue of medical transparency.

ImagingBiz Newsletter, October 14, 2009

Isotope Shortage Hinders Nuclear Medicine

It was the worst news that the nuclear-medicine community could receive when, on August 12, Atomic Energy of Canada Ltd (AECL), Chalk River, Ontario, announced that the National Research Universal (NRU) reactor would remain shut down until at least January 2010.

ImagingBiz Newsletter, September 10, 2009

Recovery Audit Contractors: Coming Soon to a Provider Near You

Medicare providers and suppliers nationwide have been preparing for increased Medicare audit activity in anticipation of the nationwide rollout of the permanent Recovery Audit Contractor (RAC) Program.

ImagingBiz Newsletter, April 15, 2009

Maintaining a Steady Aim at a Moving Target

An overview of recent regulatory changes affecting diagnostic imaging

Radiology Business Journal, December 01, 2008

Busting Myths: Joint Ventures

Radiology groups should understand the tax implications of arrangements with hospitals before they begin negotiations, according to W. Kenneth Davis, Jr, JD.

Radiology Business Journal, December 01, 2008

Major Advances in Osteoporosis Assessment: New NOF Guidelines and the’s FRAX Risk-assessment Tool

Osteoporosis is a major public-health problem, with an estimated 44 million US residents at risk for fracture.¹

Radiology Business Journal, December 01, 2008

New Rules of the Game: Medical Directors Assume the Quality Burden

Demand for radiologists acting as medical directors could jump if a proposed regulation now under consideration by CMS is adopted.

ImagingBiz Newsletter, October 15, 2008

The Next Wave: Compliance With Medicare IDTF Standards Requires Ongoing Diligence

To say that the health care regulatory environment has been active over the past two years would be an understatement.

ImagingBiz Newsletter, September 15, 2008

CMS Proposes Changes to the Anti-Markup Rule: Round Two

The only constant is change is an apt mantra for the imaging industry over the past several years.

Radiology Business Journal, September 01, 2008

Recovery Audit Contractors and Medicare Audits: Successful Strategies for Defending Audits

The CMS Recovery Audit Contractor (RAC) program has been made permanent and is expanding nationwide, beginning this year.

ImagingBiz Newsletter, August 15, 2008

Ethics, Steerage, and a Level Playing Field

How you feel about the issue of patient steerage depends, of course, on whether you are the beneficiary of a steady stream of unsuspecting patients being directed your way by payors determined to control every aspect of the delivery system.

Radiology Business Journal, June 15, 2008

Legislative Report: Another Temporary SGR Fix Is in the Wings

The CMS Sustainable Growth Rate (SGR) is again the center of attention for the medical community.

ImagingBiz Newsletter, June 12, 2008

CHAMP, Sustainable Growth Rate Reform, and Other Potential Payment-reduction Vehicles

Today’s imaging market is substantially different from that of earlier years; payment is less secure, coverage for new technology is more difficult to obtain, and government and private oversight are increasing.

ImagingBiz Newsletter, April 15, 2008

Trends in Imaging Arrangements

Prior to 2007, medical practices that developed and used imaging facilities on an exclusive, full-time basis were not overly scrutinized by payors or regulators.

ImagingBiz Newsletter, March 15, 2008

Regulatory Report:  The Final Rule: Part-Time Lease Deals Out, Other Stark Measures on Hold

In last year’s Medicare Physician Fee Schedule (MPFS) proposed rule, CMS described its concerns for the potential for fraud, waste and abuse of the Medicare program that may be caused by the growth of so-called “pod” or “condo” laboratories.

ImagingBiz Newsletter, November 15, 2007

Amended Complaint Filed in Illinois Lease Case: Referring Physicians Still AWOL

An amended complaint filed by the Illinois Attorney General in the per-click leasing complaint, initially filed by a whistleblower last year, parsed out a few more legal entities that operated the 19 named imaging centers, but failed to name any of the referring physicians in the complaint.

ImagingBiz Newsletter, May 15, 2007

Legislative Report: A Fast Start

This year already has proven to be a busy one for legislative activity in radiology.

ImagingBiz Newsletter, April 15, 2007

Be Mindful of Stark in CCTA Alliances

Numerous radiology groups are currently discussing arrangements whereby cardiologists and the radiologists would essentially split the responsibilities for reading coronary CT angiography (“CCTA”) studies.

ImagingBiz Newsletter, October 15, 2006

Practice Expense Changes Could Mean Trouble

As if the health care reimbursement picture for 2007 was not complex enough with the present and upcoming Deficit Reduction Act (DRA) changes for diagnostic imaging.

ImagingBiz Newsletter, July 15, 2006

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