Reimbursement 2026: Navigating Coding, Billing, and New Technologies in Cardiac Imaging - Educational Grant from Bayer-Bayer Presents: Reimbursement 2026: Navigating Coding, Billing, and New Technologies in Cardiac Imaging

Bayer Presents: Reimbursement 2026: Navigating Coding, Billing, and New Technologies in Cardiac Imaging

Video Transcription

Video Summary

The webinar focused on reimbursement for cardiac MRI in 2026, with three speakers covering program development, coding/billing, and future policy changes. Dr. Morris emphasized that successful CMR programs need financial planning, not just clinical excellence. He outlined how to build a business plan and pro forma, including scope, staffing, workflow, revenue sources, expenses, payer mix, and site-of-service considerations for ambulatory versus hospital-based imaging.<br /><br />Dr. Martin reviewed CMR coding and billing in detail, explaining differences between hospital outpatient and physician office reimbursement, key CPT/HCPCS and temporary CMR codes, MRI safety billing for implanted devices, contrast billing, and strategies to maximize reimbursement by correctly capturing all services performed. He also highlighted accreditation as a way to support payer coverage.<br /><br />Dr. Said expanded to the broader reimbursement landscape, explaining how RVUs are set, how APC payment rates are derived, and why hospital and office-based payments differ. He discussed proposed site-neutrality policies, upcoming payment changes, G2211, and emerging reimbursement for software-based medical services and AI tools. His main message was that physicians should respond to surveys, comment on proposed rules, document real costs, and provide utilization data to help shape future reimbursement policy.

Keywords

cardiac MRI reimbursement

CMR program development

medical coding and billing

hospital outpatient reimbursement

physician office reimbursement

CPT HCPCS codes

site-neutral payment policy

RVU and APC rates

future reimbursement policy