Medicare reimbursed only about 47% of radiology SaaS AI claims between 2018 and 2023, denying over $16 million in payments.
Key Details
- 1From 2018–2023, radiologists received $8 million in Medicare payments for SaaS AI, but $16.4 million worth of claims were denied.
- 2A total of 83,392 AI services were submitted; 47.4% (39,535) were approved, 52.6% (43,857) denied.
- 3CT-derived fractional flow reserve accounted for 90.7% of accepted services and $7.8 million in reimbursements.
- 4Adoption and denied claims both increased annually: 1,507 services submitted in 2018 rose to 53,586 in 2023.
- 5Accepted services were most common in on-campus outpatient settings (61.3%) and physician offices (32.2%).
- 6Reasons for claim denials remain unclear; reimbursement relies on mixed national and local policy determinations.
Why It Matters

Source
AuntMinnie
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