Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

quality

Radiology groups urge CMS to retool the flawed Merit-based Incentive Payment System

Leaders with ACR, the RBMA and Radiology Partners all have recently written about concerning aspects of the quality-focused Medicare payment program. 

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Should radiology groups share individual physicians’ productivity metrics?

Two members of the specialty attempted to answer this query, sharing dueling opinion pieces in the American Journal of Roentgenology.

ovaries ovarian cancer

Implementing structured radiology reporting via O-RADS boosts patient, referrer satisfaction

One key finding, experts noted, is that the Ovarian-Adnexal Reporting and Data System had little impact on patients' ability to interpret reports. 

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Joint Commission’s Ongoing Professional Practice Evaluation process called ‘costly, ineffective and potentially harmful’

Hospitals spent recurring labor costs per provider of about $50.20, extrapolated for a total national cost of roughly $78.54M, experts wrote in JACR

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Introducing MRI into clinical practice helps reduce the rate of unnecessary prostate biopsies

“We argue that the results could be replicated elsewhere if guidelines are followed and the urologist and MRI radiologist are dedicated,” researchers noted. 

Cigna

Cigna is removing 25% of medical services from prior authorization, but none of them are in imaging

The health insurer has faced criticism over its use of PA, including a class action lawsuit alleging it denied claims for imaging and other healthcare services in bulk

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Unnecessary follow-up tests may be dissuading individuals from returning for future cancer screenings

Nearly 18% of patients receive follow-up imaging or invasive procedures despite negative findings on lung cancer screening CT. 

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‘Unstoppable’ radiologist keeps practicing despite millions in fines, mounting investigations

James McGuckin, MD, most recently made the news in May when the DOJ filed suit against him and his affiliated practices. 

Around the web

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.