Feature | February 07, 2014

ACR Supports Medical Imaging Provisions in SGR Bill

American College of Radiology SGR Imaging Mammography Clinical Decision Support
February 7, 2014 — The American College of Radiology (ACR) strongly supports the bicameral, bipartisan legislation to replace the sustainable growth rate (SGR) payment formula. The organization particularly applauds inclusion of several ACR backed provisions that raise quality of care, make care more efficient and increase transparency in physician payment policy.  
 
The bill would require ordering providers to consult physician-developed appropriateness criteria when prescribing advanced medical imaging studies for Medicare patients. The legislation would direct the secretary of the U.S. Department of Health and Human Services to identify mechanisms, such as clinical decision support tools, by which ordering professionals could consult these criteria. Such ordering systems are shown to reduce duplicate and/or unnecessary scanning and associated costs. 
 
“The imaging appropriateness criteria provisions in this SGR bill will help ensure that patients get the right exam for the right condition and avoid care they may not need,” said Paul H. Ellenbogen, M.D., FACR, chair of the American College of Radiology Board of Chancellors. “This will raise quality of care and help preserve resources without interfering in the doctor-patient relationship or affecting access to care. We applaud Congress for taking this groundbreaking step.”
 
The ACR also supports provisions in the bill that would provide a positive payment update of 0.5 percent to physicians each year through 2018 and require that any specific cuts to medical services greater than 20 percent be phased in over two years.
 
“Repeated imaging cuts have forced many facilities to close or cut services. According to the FDA, there are now roughly 150 fewer mammography facilities and nearly 600 fewer mammography units available than in 2007. This ‘dampening’ policy would help prevent such massive impact on patient access to care and is a step toward sensible imaging reimbursement policies,” Ellenbogen said.    
 
Another ACR backed provision would require the Centers for Medicare and Medicaid Services (CMS) to produce data used to justify a 2012 policy that implemented a 25 percent multiple procedure payment reduction to certain medical imaging procedures provided to the same patient, on the same day, in the same session.
 
“A 2012 JACR study proves that this multiple procedure payment reduction has no basis in fact. CMS has never provided any basis for this destructive policy that affects care for the most sick and injured patients. We look forward to a legislative policy that will force Medicare to justify this cut, which has negatively impacted so many providers,” Ellenbogen said.
 
For more information: www.acr.org

Related Content

HeartFlow, FFR-CT Analysis, next-generation platform, second FDA clearance
Technology | CT Angiography (CTA)| June 29, 2016
HeartFlow Inc. announced that it is launching its next generation of the HeartFlow FFR-CT Analysis. The result of years...
IBM Watson Health, medical imaging collaborative
News | Clinical Decision Support| June 27, 2016
IBM announced it has formed a Watson Health medical imaging collaborative, a global initiative comprised of more than...
SNMMI, appropriate use criteria, AUC, PAMA, qualified provider-led entity, PLE
News | Clinical Decision Support| June 27, 2016
The Society of Nuclear Medicine and Molecular Imaging (SNMMI) has been named a qualified provider-led entity (PLE)...
CT scans, cancer risk, radiation dose, Canadian study
News | Computed Tomography (CT)| June 27, 2016
June 27, 2016 — A new study in the Journal of Medical Imaging and Radiation Sciences surveyed doctors, radiologists a
ACR Select, Appropriateness Criteria, federal AUC requirements, qPLEs
News | Clinical Decision Support| June 23, 2016
The Centers for Medicare & Medicaid Services (CMS) has named the American College of Radiology (ACR) a “qualified...
CAD-RADS, coronary CT angiography, CCTA, reporting, SCCT, ACR, NASCI, ACC

A coronary CTA scan from a Philips CT scanner illustrating a curved multiplaner reconstruction showing a large occlusion of the artery. 

News | CT Angiography (CTA)| June 17, 2016
Three medical professional societies this week jointly released a new reporting system to standardize reporting of...
ZOOM+Imaging, on-demand service, X-ray, ultrasound, CT
News | Business| June 15, 2016
ZOOM+ announced the launch of ZOOM+Imaging, a proprietary digital platform for on-demand scheduling, paying and sharing...
Technology | Clinical Decision Support| June 07, 2016
Healthy Interactions and MedCurrent recently introduced a first-of-its-kind clinical decision support platform that...
Medic Vision, SafeCT-29, NEMA XR-29, Smart Dose, computed tomography
Technology | Computed Tomography (CT)| May 31, 2016
Medic Vision Imaging Solutions Ltd. announced the U.S. Food and Drug Administration (FDA) clearance of SafeCT-29 to...
Toshiba, Infinix 4-D CT, first U.S. install, Arkansas cancer center
News | CT Angiography (CTA)| May 26, 2016
Cancer patients at the Carti Cancer Center, Little Rock, Ark., now have access to the latest innovation in diagnostic...
Overlay Init