by Curtis Kauffman-Pickelle
Today’s medical-imaging profession is definitely not for the fragile and weak-kneed among our colleagues. It is becoming increasingly clear that navigating the constant changes and challenges that face the practice of radiology today will be the ultimate test of tenacity, perseverance, and creativity. We’re in the playoffs now, and the game is moving to the big-time arena—where the margin for error is nil.
by Cheryl Proval
Physicians are in a real bind as fee-for-service reimbursement falls under attack and alternative payment methods (such as bundling and capitation) gain traction in Washington, DC. As of June 18, Medicare Part B claims were being processed with the 21.3% cut mandated by the sustainable growth rate’s formula, and House Democrats demanded legislation on jobs before they would pass the Senate bill to reverse the cut.
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The familiar, contentious debate surrounding Medicare’s sustainable growth rate (SGR) formula came to a temporary close on June 24, when the House of Representatives, by passing HR 3962, finally agreed to a Senate plan to put off a 21.3% decrease in payment rates.
Any reader of Radiology Business Journal knows that the complexity and intensity of managing a radiology practice are increasing exponentially.
The American Recovery and Reinvestment Act of 2009 (ARRA)
Organized radiology has been devoted to the self-referral issue for more than a decade.
Few federal rules for billing and leasing of diagnostic testing equipment and technicians by mobile testing companies will require the restructuring or unwinding of many imaging arrangements prior to the end of 2008.
In an often-hilarious talk at the Beyond Conference in Washington, DC, on July 24, 2008.
The imaging industry was able to beat back more than a billion dollars’ worth of cuts in Medicare in a bill that President Bush signed into law on December 30, 2007.
In the world of Washington politics, health care and health care policy are high stakes and high profile.
As in many states, Massachusetts policy makers are examining the impact that ambulatory surgical centers and medical diagnostic imaging services, particularly physician owned, are having on the health care delivery system.
Although block-leasing arrangements have become increasingly marginalized given recent Board of Medical Examiner decisions and a spate of high profile whistleblower cases, such arrangements clearly remain a target for the Centers for Medicare and Medicaid Services (CMS).
In 1993, the Maryland General Assembly passed legislation to prohibit self-referrals by physicians for three types of imaging services to patients.
Just as imaging center operators thought they had a handle on the inhospitable reimbursment and regulatory environment for 2007.
Those of us in the industry recognize that imaging is a fast-growing alternative to invasive procedures. New technology, an aging population, and declining costs of equipment are leading to more imaging procedures being performed each year.
Access to Medical Imaging Coalition (AMIC) was organized in early 2006, soon after Congress passed the Deficit Reduction Act of 2005 which significantly reduced the level of funding for medical imaging services provided in independent imaging facilities and physician offices.
As the new Congress begins a shift toward a more domestic policy-dominated agenda, health care issues are expected to receive substantial attention.
Physicians received yet another reprieve when the Senate’s final act before adjourning was to pass a broad tax and trade bill, 79-to-9, that contained the hope-for fix of the scheduled 5.1 percent cut in physician reimbursement.
In a typical year, more than 10,000 bills and resolutions are introduced in Congress and fewer than 5% of these actually become law.
There are impressive signs that outpatient imaging is beginning to coalesce in a real sense, moving from its initial stunned reaction to the DRA to a planned and coordinated sense of urgency that is reflective of a grown-up industry.
Those hoping for a repeal of cuts to diagnostic imaging contained in the Deficit Reduction Act (DRA) may have to drastically lower their expectations for 2006 was the word coming out of both the American College of Radiology (ACR) Annual Meeting and Chapter Leadership Conference.
Grassroots lobbying can at times seem more frustrating than helpful.
Is anti-self referral legislation too controversial for 2006?
The diagnostic imaging industry’s lobbying priority for 2006 is clear, say representative of industry associations and imaging center owners.
As the dust begins to settle on the legislative action that has imaging center owners in various states of confusion, angst, and anger, it is clear that no one saw this particular train wreck coming.
WASHINGTON, DC — When the House narrowly approved the Senate version of the 2006 Federal budget on February 1.
WASHINGTON, DC — Taking the imaging world by complete surprise, the Senate voted with the House on Wednesday, December 21.