Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

CMS Proposes Changes to the Anti-Markup Rule: Round Two

The only constant is change is an apt mantra for the imaging industry over the past several years. For the second time in two years, CMS has proposed comprehensive changes in the anti-markup provision of the purchased diagnostic test rule (AMR) in the Medicare Physician Fee Schedule (MPFS) regulations. The most significant of the 2008 finalized

Physicians and the E Word

Physicians are understandably suspicious of efficiency efforts in medicine, but nowhere in the Hippocratic oath are they absolved from addressing the appropriate delivery of care

The Good, the Bad, and the Inspired

Finally, some good news for imaging. The eleventh-hour override of the president’s veto in early July saved the day for physicians, if only temporarily. Now, the bad news: The cumulative adjustments in the sustainable growth rate affecting the Medicare Physician Fee Schedule will now come due in a mere 18 months. The 10% reduction scheduled for

Lynn Elliot: Moving RATC Beyond the Field of Dreams

In 1998, Lynn Elliott, MBA, CPA, accepted a position as CEO of the thriving, hospital-based practice of Radiology Associates of Tarrant County (RATC), Fort Worth, Tex. With nine hospital clients but just one full-service imaging center, RATC charged Elliott with the task of growing the practice’s outpatient imaging center business. Fresh from a

Surveying Referrers Provides Valuable Guidance

During a client consultation via conference call last month, I was asked what other radiology practices are doing to deliver reports. “What they are doing is less important than providing what your referrers want,” I replied. “How do we find out?” asked the practice representative. “Ask them,” I said.

Proposed 2009 MPFS: Once Again, Imaging Takes a Disproportionate Impact

In what seems to be becoming as much a harbinger of summer as fireworks or cookouts, on July 7, 2008, CMS published its proposed Medicare Physician Fee Schedule (MPFS) payment update for the next fiscal year. Once again, it includes a number of provisions intended to address CMS concerns about the appropriateness of the provision of imaging

Financial Adventures in Imaging, Post DRA

It’s been a year and a half since the debut of the DRA imaging cuts, and the dust is beginning to settle in the outpatient imaging market, according to Douglas Lynch, senior vice president and US chief risk officer, and Thomas Bruce, senior vice president and senior credit officer, GE Healthcare Financial Services (GEHFS) Services, Brookfield, Wis.

Collecting Self-pay Balances: Cash Is King

You cannot pick up a newspaper today without reading about the 47 million uninsured US residents. Well, that is only the tip of the iceberg.

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.