Bon Secours Mercy Health filed suit Aug. 28, alleging Virginia's largest commercial insurer had denied or downgraded an enormous volume of claims.

That’s according to a new single-center analysis from Vanderbilt University Medical Center published in JAMA Health Forum.

Despite the marked increase, there was no corresponding uptick in either positive PE readings or pregnancies, experts detailed. 

The decreases appeared to be greatest for cancers typically diagnosed via screening, including breast, lung and colorectal cancer. 

The investigation also used secure messaging, allowing clinicians to receive real-time alerts via their smartphones to notify them of a possible LVO minutes after the completion of a CT. 

More conservative approaches should be considered before direct referral to surgery, experts urged in the journal of Clinical Imaging. 

The findings, derived from ACR's National Mammography Database, offer important clues as leaders seek to improve biopsy rates after screenings. 

The program landed on tethered cord syndrome, which a neurosurgeon later confirmed as the correct diagnosis.