The exam should be performed on patients with greater than 10 years of life expectancy and between the ages of 50 and 70, with earlier imaging recommended for black men.
Lawmakers have opted against authorizing funding for the Wasteful and Inappropriate Service Reduction Model, citing concerns it will overburden patients and providers.
Though both modalities offer providers insight into the extent of a patient’s disease, WB-MRI may be more beneficial for patients than the current standard of care.
“Every radiologist should have grave concerns about this ruling and think twice about practicing in the state," The Medical Group's Anand P. Lalaji, MD, said Monday.
According to the DOJ, the pharmacist and those working under him “would ‘fractionate’ or ‘split’ the active ingredient of Technescan MAG3, without ensuring the pieces were equal in size, purity or strength.”
That number is expected to grow even more in the coming years, as the exam serves as a noninvasive alternative to colonoscopy, while also providing more accurate results than stool tests.
A referring physician orders an MRI of the lumbar spine and hits send. That order lands at three, sometimes four, outpatient imaging centers simultaneously. The center that contacts the patient first books the appointment. The rest miss out on the revenue.