Radiology Business December 23, 2024
Providers are winning most disputes. However, he emphasized ongoing issues with compliance, particularly insurers failing to meet payment deadlines after losing disputes.
House Resolution 9572, a bipartisan bill introduced by Rep. Greg Murphy, MD, R-N.C., aims to financially penalize insurance companies that fail to pay physicians within the mandated 30 days of an IDR determination.
Medicare reimbursements continue to decline
Radiology practices continue to grapple with cuts to the Medicare Physician Fee Schedule, with reductions of 3%–4% expected in 2025 when figuring in inflation. This is compounded by rising costs for staffing and practice operations, creating access-to-care concerns for Medicare beneficiaries.
“The elephant in the room is the continuing decline in the Medicare Physician Fee Schedule. I do think in...
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