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By: George Wiley
After a six-month period of collecting baseline data, the CMS Medicare Imaging Demonstration began on April 1, 2012. The imaging industry is watching this test closely. If the two-year demonstration shows that a computerized decision-support system can guide referring physicians to make appropriate orders for advanced imaging tests—and, at the same time, curtail inappropriate utilization—then a move to impose prior-authorization requirements for advanced imaging exams for Medicare patients might be headed off at the pass. Even if the Medicare Imaging Demonstration fails to squelch a call from the Obama administration and its allies to use radiology benefit management companies (RBMs) to screen advanced imaging orders for Medicare recipients, the demonstration project represents a...
Features
By: David Rosenfeld
Located on the Puget Sound about 35 miles south of Seattle, Washington, the community of Tacoma and surrounding Pierce County benefit from a number of innovations that are linking local radiology...
Features
By: David Rosenfeld
On March 7, 2012, the proposed rule¹ governing stage 2 of the CMS incentive program for electronic health records (EHRs) and the 2014 EHR certification criteria² were published to generally...
Features
By: Julie Ritzer Ross
In March 2010, Sutter Health announced plans to sever a contract, in place for nearly a century, with Radiological Associates of Sacramento in California. Under its terms, the group had served five...
Features
By: Cheryl Proval
With a bundled-payment pilot program instituted by the Patient Protection and Affordable Care Act set to begin in 2013, it is interesting (and perhaps instructive) to look at a three-year CMS...
Features
By: Cheryl Proval
While the fate and integrity of the Patient Protection and Affordable Care Act (PPACA) are likely to be clarified in this highly polarized presidential-election year, Massachusetts continues along a...
Features
By: Cat Vasko
Since the passage of the DRA, and through subsequent hits to reimbursement for imaging, one question has been perennial in the radiology community: How can radiologists raise their profile with...
Features
By: Matt Skoufalos
Growing your high-tech imaging business is just not the same game that it used to be, according to William Barta, corporate director of imaging services for Fairview Health Services (Minneapolis,...
Features
By: Staff Writer
For January through June 2011, one-third of people in the United States were members of families having difficulties paying for medical care, according to a March 2012 report.¹ One in five people...
Features
By: Cheryl Proval
No matter how good your service is or how expert and reliable the care, if someone isn’t taking care of the back of the house, health care is out of business. I learned that the hard way when my...
Features
By: Curtis Kauffman-Pickelle
A maxim in radiology, as we traverse this most uncertain health-care landscape, is that size matters. In fact, it matters a lot. Consolidation is accelerating among independent radiology groups—...
Features
By: John M. Boone, PhD, FAAPM, FACR
Many of the accidents that spurred press coverage of CT overdoses in recent years occurred in California. This led to enactment of the state’s SB 1237 (and subsequent cleanup legislation), which...