Sandy Coffta

Practice Management
Proposed Medicare rule will not improve radiology reimbursement
In a new column, Sandy Coffta of Healthcare Administrative Partners assesses how the 2022 Medicare Physician Fee Schedule Proposed Rule would affect radiology.
July 31, 2023
2023 07 31 22 22 6947 Medicare Puzzle Piece 400
Market Analysis
How you can help improve the Medicare Physician Fee Schedule
In a new column, Sandy Coffta of Healthcare Administrative Partners shares how radiologists can play their part in lobbying Congress to improve the Medicare Physician Fee Schedule.
June 12, 2023
2020 07 01 22 14 2802 Washington Dc Capitol 400
Practice Management
Last-minute Congressional action reduces Medicare fee cuts for 2023
In a new column, Sandy Coffta of Healthcare Administrative Partners (HAP) discusses the impact of the recent Congressional action to reduce the Medicare reimbursement pay cuts that had been scheduled to take effect in 2023.
January 8, 2023
2016 09 14 15 25 23 643 Dollar Sign 400
Practice Management
Regulatory update: Radiology faces revenue cuts in 2023
Unless Congress acts again at the last minute, Medicare reimbursement cuts will take effect in 2023. Sandy Coffta of Healthcare Administrative Partners assesses the situation in a new column.
December 4, 2022
2020 07 01 22 14 2802 Washington Dc Capitol 400
Practice Management
Expanded authorization for nonphysician providers
The American College of Radiology has recently revised its CT and MRI facility accreditation criteria to allow nonphysician providers (NPPs) to directly supervise contrast administration. Sandy Coffta of Healthcare Administrative Partners explains how it works.
November 6, 2022
2021 09 30 22 35 2834 Doctor Student Nurse Medical Personnel 400
Economics
The No Surprises Act final rule changes dispute resolution process
The final rule related to the No Surprises Act has made major changes to the independent dispute resolution process for resolving disputes over reimbursement. Sandy Coffta of Healthcare Administrative Partners explains how it works.
September 18, 2022
2019 11 13 00 46 2926 Business Deal Corporate 400
Practice Management
How will the MPFS proposed rule valuation changes impact radiology?
How will all the various changes in how Medicare and Medicaid calculate payment rates for medical services affect radiology? It's a complex question to answer, but Sandy Coffta of Healthcare Administrative Partners takes a crack at it in a new column.
August 14, 2022
2020 11 04 18 50 6655 Business Intelligence 400
Practice Management
What's in store for radiology in the 2023 Medicare Proposed Rule?
Who were the winners and who were the losers in the proposed 2023 Medicare Physician Fee Schedule (MPFS)? Sandy Coffta of Healthcare Administrative Partners deconstructs the MPFS and analyzes its potential impact on radiology.
July 20, 2022
2022 07 19 23 50 2007 Business Computer Investigation Magnifying Glass 400
PACS/VNA
Teleradiology agreements for today's radiology practice
The use of teleradiology services was originally framed around the need for a better lifestyle, usually to supplement a radiology group for its call obligation. Now is a good time for every radiology group to review their teleradiology service agreement, says Sandy Coffta of Healthcare Administrative Partners.
June 8, 2022
2020 09 10 22 26 0816 Computer City Connections 400
Economics
The contrast media shortage's impact on radiology
The shutdown of GE Healthcare's Shanghai, China, plant that began in April has caused a global shortage of the iodinated contrast media iohexol. Sandy Coffta of Healthcare Administrative Partners offers suggestions on how to cope.
June 1, 2022
2020 02 06 22 25 0448 Contrast Injector 400
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MRI
3D MRI technique helps plan treatment for pediatric heart conditions
The method makes "heart muscle and heart valves visible while making blood and surrounding tissues transparent," researchers noted.
Images of a 39-year-old who underwent screening mammography. Right craniocaudal (left) and mediolateral oblique (middle) views from preoperative mammography show suspicious grouped fine pleomorphic calcifications (arrows). After biopsy showed ductal carcinoma of situ (DCIS), patient underwent breast-conserving surgery, yielding final diagnosis of ductal carcinoma in situ (intermediate grade, hormone receptor positive). (Right) Screenshot of an output of a commercial AI tool applied to preoperative mammography. AI detected right breast lesion with score of 95% on both views (concentric colored circles). Present study’s reviewing radiologist deemed AI marking to correspond with site of DCIS.
Womens Imaging
Could AI scoring help with managing DCIS?
Axial contrast-enhanced CT scan in a 28-year-old premenopausal woman shows an incidentally detected solid-appearing left ovarian lesion (solid arrow) anterior to the uterus (U), associated with trace ascites in the right adnexa and cul de sac (dashed arrows). At pathologic analysis, this was shown to be ovarian dysgerminoma. Two readers misdiagnosed this lesion, one as a leiomyoma and one as an ovarian fibroma.
CT
Clinicians, beware: CT diagnostic accuracy varies by adnexal lesion type
Erin Stephens
Practice Management
Radiology coding update for 2026
Images from two representative cases. (A-C) Images in an 82-year-old man with a calcified plaque in the proximal segment of the left anterior descending artery. (A, B) Curved planar reconstruction images from CCTA with (A) hybrid iterative reconstruction (HIR) and (B) super-resolution deep learning reconstruction (SR-DLR) show that the measured PDS was 66% for the HIR image and 42% for the SR-DLR image. (C) Quantitative analysis of the invasive coronary angiography (ICA) image (reference standard) revealed a PDS of 34% (arrow). (D-F) Images in a 37-year-old woman with a noncalcified plaque in the middle segment of the left circumflex artery. (D, E) Curved planar reconstruction images from CCTA with (D) HIR and (E) SR-DLR show that the measured PDS was 47% for the HIR image and 80% for the SR-DLR image. (F) Quantitative analysis of the ICA image revealed a PDS of 72% (arrow). Blue, red, and yellow lines in A, B, D, and E represent the proximal reference point, stenosed lesion, and distal reference point, respectively, and the insets show the corresponding cross-sectional images.
CT
Super-resolution deep learning reconstruction improves CCTA
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3D MRI technique helps plan treatment for pediatric heart conditions
By Kate Madden Yee
The method makes "heart muscle and heart valves visible while making blood and surrounding tissues transparent," researchers noted.
February 12, 2026
Cardiac Mri Adobe Samunella
Could AI scoring help with managing DCIS?
By Amerigo Allegretto
An AI model showed associations with recurrence after DCIS surgery and performed comparably to established clinical risk models.
February 11, 2026
Images of a 39-year-old who underwent screening mammography. Right craniocaudal (left) and mediolateral oblique (middle) views from preoperative mammography show suspicious grouped fine pleomorphic calcifications (arrows). After biopsy showed ductal carcinoma of situ (DCIS), patient underwent breast-conserving surgery, yielding final diagnosis of ductal carcinoma in situ (intermediate grade, hormone receptor positive). (Right) Screenshot of an output of a commercial AI tool applied to preoperative mammography. AI detected right breast lesion with score of 95% on both views (concentric colored circles). Present study’s reviewing radiologist deemed AI marking to correspond with site of DCIS.
Clinicians, beware: CT diagnostic accuracy varies by adnexal lesion type
By Kate Madden Yee
The modality correctly diagnoses dermoids and simple cysts, but is not as effective at identifying other types of adnexal lesions.
February 11, 2026
Axial contrast-enhanced CT scan in a 28-year-old premenopausal woman shows an incidentally detected solid-appearing left ovarian lesion (solid arrow) anterior to the uterus (U), associated with trace ascites in the right adnexa and cul de sac (dashed arrows). At pathologic analysis, this was shown to be ovarian dysgerminoma. Two readers misdiagnosed this lesion, one as a leiomyoma and one as an ovarian fibroma.
Radiology coding update for 2026
By Erin Stephens
In a new column, Erin Stephens of Healthcare Administrative Partners reviews the 2026 CPT code changes.
February 11, 2026
Erin Stephens
Super-resolution deep learning reconstruction improves CCTA
By Will Morton
The commercially available image reconstruction algorithm outperformed standard hybrid iterative reconstruction for assessing coronary stenosis.
February 10, 2026
Images from two representative cases. (A-C) Images in an 82-year-old man with a calcified plaque in the proximal segment of the left anterior descending artery. (A, B) Curved planar reconstruction images from CCTA with (A) hybrid iterative reconstruction (HIR) and (B) super-resolution deep learning reconstruction (SR-DLR) show that the measured PDS was 66% for the HIR image and 42% for the SR-DLR image. (C) Quantitative analysis of the invasive coronary angiography (ICA) image (reference standard) revealed a PDS of 34% (arrow). (D-F) Images in a 37-year-old woman with a noncalcified plaque in the middle segment of the left circumflex artery. (D, E) Curved planar reconstruction images from CCTA with (D) HIR and (E) SR-DLR show that the measured PDS was 47% for the HIR image and 80% for the SR-DLR image. (F) Quantitative analysis of the ICA image revealed a PDS of 72% (arrow). Blue, red, and yellow lines in A, B, D, and E represent the proximal reference point, stenosed lesion, and distal reference point, respectively, and the insets show the corresponding cross-sectional images.
Nonsurgical management rising for low-risk DCIS cases
By Amerigo Allegretto
Trends show that nonsurgical management of DCIS is rising, paving the way for imaging's role in active surveillance.
February 10, 2026
Breast Mammo 400
Gadoxetate MRI offers high sensitivity for liver cancer screening
By Kate Madden Yee
"Most participants undergoing HCC screening had excellent MRI quality even when ultrasound was limited," researchers noted.
February 10, 2026
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Podcast: MRI service engineer faced nightmare with man's entrapment
By Liz Carey
MRI service engineers aren't generally first responders, says MRI safety expert Josh Posh.
February 10, 2026
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PET/CT visualizes complications in patients on hemodialysis
By Will Morton
F-18 sodium fluoride PET/CT scans can quantify changes in cardiac and aortic vascular calcifications.
February 9, 2026
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DBT-guided biopsies show practical advantages
By Amerigo Allegretto
New research says DBT-guided biopsies lead to less procedure times and radiation exposure compared to mammography-guided biopsies.
February 9, 2026
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Radiology is at an inflection point
By Dhruv Chopra
Radiology is a cornerstone of modern medical diagnostics, but today is at an inflection point, said Civie CEO Dhruv Chopra in a new column.
February 9, 2026
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PSMA-PET/CT best for staging prostate cancer
By Will Morton
The finding is from a head-to-head comparison of PSMA-PET/CT with five other techniques.
February 6, 2026
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