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.

The MAC–CMS Disconnect

As we previously reported,¹ last fall, CMS published its supposedly final guidance² on place-of-service requirements for the professional and technical components of diagnostic tests. Transmittal 2563 (later replaced by Transmittals 2613 and 2679) revised the instructions contained in chapter 13 of the CMS manual system for Medicare claims processing. The most recent transmittal became effective on April 1, 2013. On April 25, CMS issued a frequently asked question (FAQ)3 set to respond to additional concerns about the place-of-service instructions. Among other clarifications in the FAQ list, CMS reported that it will be developing a national enrollment policy for telehealth and telemedicine services.

What You See Probably Isn’t

Fifteen years ago, when I first started to write about radiology, any attempt to manage or standardize the practice of medicine was met with resistance and derision. Notice that when putting together this issue, we ruled out calling our cover story, “Devising a Cookbook for Radiology.”

UnitedHealth Exits Calif. Market; Obama Gives Employers Reprieve

UnitedHealth, the nation’s largest insurer, told California state regulators that it would leave the California individual health insurance market, effective at the close of 2013. A similar move by Aetna last month leaves a combined 58,000 Californians shopping for coverage in a market that does not include the nation’s two largest insurance companies, according to an article in the Los Angeles Times.

Bill to Create Alternate RVU Advisory Group Problematic says RUC Member

H.R. 2545, a bill to create an “independent” panel to advise on the relative value of physician services, repeats old and invalid criticisms of the Relative Value Scale Update Committee (RUC) said Geraldine B. McGinty, MD, chair of the ACR’s Commission on Economics and a member of the RUC

Additional Evidence Shows Medical Imaging Utilization Rates Declining

The Harvey L. Neiman Health Policy Institute was set up in part to challenge wrong assumptions about the role of imaging in the rise in health spending, and the latest study from the Institute does just that

AHRQ Lists Strategic Radiology Patient Safety Organization

The AHRQ approval of the patient safety organization established by the Palmeto, Fla.-based network of radiology practices allows Strategic Radiology to move forward with the sharing of radiology safety and quality best practices

MemorialCare Medical Foundation Forms Joint Venture to Operate 5 Southern California Imaging Centers

MemorialCare Medical Foundation, the physician group division of MemorialCare Health System in Southern California, has entered into a joint venture partnership with SimonMed, an imaging company, to operate five imaging centers in the counties of Los Angeles and Orange

Republican Committee Leaders Release Updated SGR Fix Draft

The House Energy and Commerce and Ways and Means committees on Friday released a more detailed version of their long-term proposal to remove the flawed sustainable growth rate (SGR) formula for setting Medicare physician reimbursement

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.