A physician at the Atlanta-based firm purportedly spent as few as 30 seconds reviewing reports prepared by overseas readers who weren’t permitted to practice medicine nor bill government healthcare programs.
With the recent adjustment, the conversion factor is now 1.77% lower than it was in 2023, at $33.2875, consulting firm Healthcare Administrative Partners notes.
UHC has labeled an IR service docs have been delivering for 9 years as “unproven and not medically necessary due to insufficient evidence of efficacy."
Clarkston, Washington-based TriState Health had worked with Twin Cities Radiology for 25 years, with the practice ending the relationship due to retirement.