About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Physicians Interpretation Varies When Different Providers Read Different Scans on Same Patient

by Bidita Debnath on April 11, 2013 at 4:19 PM
Font : A-A+

 Physicians Interpretation Varies When Different Providers Read Different Scans on Same Patient

Any efficiencies in physician interpretation and diagnosis gained when different providers interpret different medical imaging scans performed on the same patient are minute and vary by procedure.

This is according to a new study published online in the Journal of the American College of Radiology.

Advertisement

Specifically, no potential intra-service work duplication was found when different exam interpretations were rendered by different physicians in the same group practice. Small potential efficiencies were found possible regarding pre- and post-service activities. Across all modalities (scan types), this corresponds to a maximum Medicare professional component physician fee reduction of only 0.95 percent to 1.87 percent for services regarding the same type of scan. For services from different modalities, potential duplications were too small to even quantify.

This issue is debated in health policy circles because the Centers for Medicare and Medicaid Services (CMS) recently enacted a 25 percent Multiple Procedure Payment Reduction to Medicare reimbursement for interpretation of advanced diagnostic imaging scans performed on the same patient, in the same session. This reduction applies across all physicians in a group or practice. It does not affect the number of scans ordered, only interpretation of scans already performed. This type of reduction has recently been expanded to physical therapy, cardiovascular and ophthalmology technical services as well.
Advertisement

"These findings are important because the exams affected are primarily used to care for the most sick or injured patients — those with massive head and body trauma, stroke or widespread cancer. These people often require interpretations by different doctors to survive. This study shows that the data Medicare used to justify funding cuts was inflated by 1,200 percent and not reflective of clinical practice," said Geraldine McGinty, M.D., chair of the American College of Radiology Commission on Economics.

Because each imaging study produces a set of images requiring individual interpretation, a physician is ethically and professionally obligated to expend the same time and effort, regardless of the date or time of service. Studies show that medical imaging use and imaging costs are down significantly since 2006.

"While potential efficiencies exist in physician pre- and post-service work when same-session, same-modality imaging services are rendered by different physicians in the same group practice, these are relatively minuscule, and have been grossly overestimated. These findings support the need for greater transparency and methodological rigor when health care regulatory actions are taken," said McGinty.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
Menstrual Disorders
Coffee May Help You Fight Endometrial Cancer
Fermented Skin Care
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Single Photon Emission Computerized Tomography 

Recommended Reading
Over 3,000 Indian-origin Physicians to Meet in Chicago
In Chicago May 23-27, over 3,000 doctors are expected to attend the annual convention of the ......
Physicians Say Time is Now for Clinician-led Innovation To Make Health Systems More Effective
A timely alternative process for harnessing and supporting physician-led innovations to rapidly ......
Emphasis on 'Value' in Health Care Reform Sends Mixed Messages: Penn Medicine Physician
The championing of value as a goal of health care reform efforts was led by the wide consensus ......
Physicians' Belief About Obesity Causes Impacts Advice and Care: Study
The causes of obesity which may impact the advice doctors give their patients were viewed by them....
Single Photon Emission Computerized Tomography
Single Photon Emission Computed Tomography, a nuclear imaging diagnostic tool helps in accurate asse...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2022

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use
open close
CONSULT A DOCTOR
I have read and I do accept terms of use - Telemedicine

Advantage Medindia: FREE subscription for 'Personalised Health & Wellness website with consultation' (Value Rs.300/-)