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Eric Rubin, MD, vice president of clinical operations at Virtua Health, and the American College of Radiology's CPT advisor to the American Medical Association (AMA), explains the process for creating a Category I CPT code for payments and the difference with Category III temporary tracking codes.

Radiology dominates FDA-cleared AI, but reimbursement lags far behind

As of January 2026, there will only be two CPT category 1 payment codes for newer AI, despite there being hundreds of FDA-cleared medical imaging algorithms.

Richard Heller, MD, MBA, FACR, senior vice president of health policy at Radiology Partners, and involved in policy advocacy with the American College of Radiology (ACR) and the Radiological Society of North America (RSNA), explains the key policy issues impacting radiology, including the CMS efficiency cuts and unfair policies by Anthem insurance.

Radiology policy shifts threaten patient access and physician sustainability

Radiology Partners' Richard Heller, MD, MBA, outlined several mounting policy pressures providers face heading into 2026.

Arnold Seto, MD, MPA, FACC, FSCAI, cath lab director, Long Beach VA Medical Center, professor of medicine at Charles Drew University, Society for Cardiovascular Angiography and Interventions (SCAI) treasurer and chair of the SCAI Advocacy Committee, explains changes in payment policy are making ambulatory surgical centers (ASC) and office based labs (OBL) more attractive to both cardiologists and larger health systems.

More interventional procedures may be coming to an ambulatory surgical center near you

ASCs have their limitations, but they are also associated with several benefits for cardiologists and patients alike.

SCAI President Srihari S. Naidu, MD, professor of medicine at New York Medical College, explained some of the key payment issues interventional cardiologists are facing amid declining Medicare reimbursements.

SCAI fighting for interventional cardiologists amid challenging payment policies

SCAI President Srihari Naidu, MD, detailed some of the challenges interventional cardiologists face as reimbursements keep declining. The group has been building new partnerships with other medical societies to strengthen its influence in Washington. 

At the recent American College of Cardiology (ACC) Legislative Committee meeting, leaders warned that ongoing federal policy uncertainty threatens patient access and the stability of cardiovascular care. Cathie Biga, MSM, immediate past president of the ACC, outlined growing concerns over telehealth, shrinking Medicare reimbursement, and mounting physician workforce shortages driven by visa restrictions.

ACC raises red flags over telehealth, payment reform and the cardiologist shortage

"We need telehealth the way we had it for COVID," Cathie Biga told Cardiovascular Business at TCT 2025. "We don't want to go back to having it so restricted."

David Magid, MD, MPH/MSPH, a professor of cardiology at the University of Colorado, explains attributing cardiac patient care to physicians in accountable care organizations.

Common methods for attributing cardiac care in ACOs may be falling short

As the United States continues to move toward quality-based care, ACOs need to rethink the way they attribute care to cardiologists and other members of the heart team. 

Lisa Miller, JD, former deputy assistant attorney general U.S. Department of Justice (DOJ) Criminal Division, a former principal assistant deputy chief of the DOJ healthcare fraud unit, and now a partner in the legal firm Sidley Austin LLP, explains what the DOJ is looking for in Medicare fraud cases.

What the DOJ looks for to spot healthcare fraud

Former principal assistant deputy chief of the U.S. Department of Justice's Healthcare Fraud Unit, Lisa Miller, explains what the DOJ is looking for in healthcare fraud cases.

As the national physician shortage deepens, cardiology is feeling the strain—especially in rural America. Recruitment challenges are growing, and health systems are grappling with how to attract and retain cardiologists in remote locations. Michelle Wimberly, director of physician recruitment and retention at Cardiovascular Logistics (CVL), says the solution starts with relationships and a commitment to long-term engagement.

How to bring cardiologists to rural America during a physician shortage

As the national physician shortage deepens, cardiology is feeling the strain. Recruiting cardiologists can be hard enough—bringing them to rural America is especially challenging due to the risk of isolation and other concerns.

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