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

integrated clinical decision support, CDS, Wolters Kluwer, E-book
News | Clinical Decision Support| January 28, 2016
The Health division of Wolters Kluwer announced the release of a complimentary e-book that demonstrates the critical...
Image Wisely, annual pledge process, medical imaging, radiation safety
News | Radiation Dose Management| January 27, 2016
Image Wisely participants must now make yearly commitments, as opposed to a one-time pledge, confirming their ongoing...
Medic Vision, SafeCT Enterprise, St. Joseph's/Candler Health System, Georgia
News | Computed Tomography (CT)| January 26, 2016
Medic Vision Imaging Solutions Ltd. announced the installation of SafeCT (computed tomography) at St. Joseph’s/Candler...
ECRI Institute, Rate This Model, medical equipment, review/rating tool
News | Business| January 25, 2016
Now, medical technology purchasers and users have an instant online forum to rate and review technologies they are...
ACC, ACR, chest pain, diagnostic imaging, emergency department, recommendations document
News | Cardiac Imaging| January 25, 2016
New recommendations from the American College of Cardiology (ACC) and the American College of Radiology (ACR) have...

Image courtesy of Philips Healthcare

Feature | Clinical Decision Support| January 06, 2016 | Dave Fornell
News | Cardiac Imaging| December 28, 2015 | Dave Fornell
December 28, 2015 — Toshiba announced Dec.
Technology | Clinical Decision Support| December 22, 2015
December 22, 2015 — The American College of Cardiology (ACC) has launched a new Society of Thoracic Surgeons (STS)/AC
Siemens, TwinBeam Dual Energy CT, Somatom Definition, RSNA 2015
Technology | Advanced Visualization| December 21, 2015
Siemens Healthcare’s approach to delivering dose-neutral dual energy images obtained on Somatom computed tomography (CT...
GE Healthcare, Revolution CT family, EVO, RSNA 2015

The Revolution HD expands CT’̈s utility beyond simple anatomy towards tissue characterization through gemstone spectral imaging.  This image used the ASiR iterative reconstruction to create a chest, abdomen, pelvis exam at only 5.8 mSv.

Technology | Computed Tomography (CT)| December 15, 2015
The Revolution CT, Revolution HD and Revolution EVO CT scanners are now offered with a wider range of capabilities to...
Overlay Init