on April 12, 2013 |
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Topics: Utilization Review, Payer Relations, Reimbursement, Finance, Medicare, Payer and Regulatory Policy, Revenue Cycle, Imaging, Service Lines, Referral Management, Physician Issues, Utilization, Efficiency, Performance Improvement
Ben Lauing, Imaging Performance Partnership
President Obama’s proposed budget may signal major reforms in store for imaging. Self-referral, an issue often debated but rarely acted upon, is now an explicit target; the Obama administration has proposed restricting the in-office ancillary services exception to the Stark law. Furthermore, the budget suggests mandatory pre-authorization for advanced imaging modalities.
While this is only a proposed budget, and Congress could take it or leave it, we think it’s highly likely that regulations to curb imaging utilization will soon emerge.
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President Obama targets self-referrals and pre-authorization
on November 20, 2012 |
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Topics: Imaging, Service Lines, Quality, Performance Improvement, Payer and Regulatory Policy, Revenue Cycle, Finance, Outcomes, Reimbursement, Enterprise Data Warehouse, Business Intelligence, Information Technology
Ben Lauing, Imaging Performance Partnership
A mandate in the Affordable Care Act (ACA) calls for "patient-centered outcomes research" to evaluate comparative effectiveness of clinical treatments and services. To carry out the mandate, Congress established the Patient-Centered Outcomes Research Institute (PCORI) to scientifically evaluate quality and value of care and to develop strategies for effective utilization of the research findings in clinical decision making.
Legislation dictates an emphasis on quality, yet imaging professionals are still deciphering what that means for the field of radiology. A recent article in the Journal of the American College of Radiology seeks to define quality measures in imaging and suggests the implications of these quality measurements for radiology moving forward.
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Patient-centered outcomes: Measuring quality and proving value in imaging
on September 28, 2012 |
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Topics: Medicare, Reimbursement, Finance, Payer and Regulatory Policy, Revenue Cycle, Imaging, Service Lines
Stephanie Krent, Imaging Performance Partnership
According to Dr. Bibb Allen, vice chair of the American College of Radiology’s Board of Chancellors, the hits just keep on coming for imaging and radiology leaders. Earlier this month, Dr. Allen spoke at the California Radiological Society and referred to continued efforts to reduce imaging spending as “frustrating” and “irrational.”
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Does imaging have a target on its back?
