The settlement resolves claims that Radiology Associates, an independent Corpus Christi, Texas, radiology group, along with Children’s Physician Services of South Texas (CPSST), billed government payors twice for the professional reading and interpretation of thousands of pediatric genetic ultrasounds over a five-year period

The federal meaningful-use program has been particularly challenging for imaging, both in its inception and in its execution. Initially, it seemed as though radiology would be exempt from the system of incentives and penalties devised to increase electronic health record (EHR) adoption; a rule change reversed that, making 90% of practicing radiologists eligible providers. For specialists, however, the menu set of requirements can be puzzling, at best, and prohibitive to participation, at worst.

The theme of 2012’s annual RSNA meeting in Chicago, Illinois, was Patients First, reflecting a question on the minds of many in the imaging community: How can a specialty with very little patient interaction built into its workflow improve its service to patients? As an emerging practice model, patient-centered radiology has a nice ring to it, but as Greg Thomson, CPA, executive vice president with Medical Management Professionals (MMP), notes, “This represents a major cultural leap for radiology. Radiologists have long had multiple customers—including referring physicians and hospitals—along with patients, and because they often do not interact with patients, their focus has been on the referring physicians, not the patients. It is a mindset shift for the specialty.”

The diagnostic-imaging industry continues to face significant reimbursement headwinds as a result of recent Medicare reimbursement cuts. Industry-specific cuts recently enacted include the Multiple Procedure Payment Reduction (MPPR), which was introduced in the 2012 Medicare Physician Fee Schedule (MPFS) and expanded in the 2013 MPFS, and the increased equipment-utilization rate (used to calculate Medicare reimbursement) contained in the American Taxpayer Relief Act (ATRA), passed in January 2013.

One of the most emotionally loaded conversations in imaging is that concerning efficiency and productivity. In recent years, these considerations have become increasingly vital to groups’ survival, according to Chad Calendine, MD, CMO of Optimal Radiology Partners and President of Premier Radiology (Nashville, Tennessee). “As peoples’ incomes began to decrease with decreasing reimbursement, they became more focused on how to regain that lost income, and the way to do that is through additional efficiencies and productivity,” he says. “It’s an emotional issue because it strikes to the heart of whether you are a good radiologist and a good partner. Are you pulling your weight?”

In his Time magazine cover story, “Bitter Pill,” journalist Steven Brill dives into line-by-line analyses of patients’ hospital bills, breaking down exactly what they paid for which services. Even as a seven-year veteran of writing about our corner of the economy, I was appalled by what I read. To take a couple of examples at random, one patient

Massachusetts and Hawaii are the latest states to have introduced bills in their respective legislatures to mandate informing mammography patients about breast density

Philips Healthcare has made an additional donation of nearly $9,000 to help the ASRT Foundation support members who volunteer in under-served communities and provide quality medical imaging and radiation therapy services for populations in need