Self-Referral of Imaging and Increased Utilization: Some Practical Perspectives on Tackling the Dilemma

Journal of the American College of Radiology

Volumn 6, Issue 11, 2009, Pages 773-779

  Romano, Donald H ^a  

^a Arent Fox   (United States)

Author keywords

payment; Self referral; Stark; utilization

Indexed keywords

ARTICLE; BILLING AND CLAIMS; DIAGNOSTIC IMAGING; DIAGNOSTIC TEST; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; MEDICAL FEE; MEDICARE; PATIENT REFERRAL; PHYSICIAN SELF-REFERRAL; REIMBURSEMENT; UNITED STATES;

EID: 72149123416     PISSN: 15461440     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacr.2009.07.002     Document Type: Article

References (12)

1. Fisher E., Goodman D., Skinner J., and Bronner K. Health care spending, quality and outcomes: more isn't always better. http://dartmouthatlas.org/atlases/Spending_Brief_022709.pdf Accessed June 14, 2009
2. US Department of Health and Human Services, Office of Inspector General. Growth in advanced imaging paid under the Medicare Physician Fee Schedule (OEI-01-06-00260). http://oig.hhs.gov/oei/reports/oei-01-06-00260.pdf Accessed August 12, 2009
3. Angrisano C, Farrell D, Kocher, B, Laboissiere M, Parker S. Accounting for the cost of health care in the United States. Washington, DC: McKinsey Global Institute.
4. Farrell D., Jensen E., Kocher B., et al. Accounting for the cost of US health care: a new look at why Americans spend more. http://www.mckinsey.com/mgi/reports/pdfs/healthcare/US_healthcare_report .pdf Accessed June 14, 2009
5. Baker L.C., Atlas S.W., and Afendulis C.C. Expanded use of imaging technology and the challenge of measuring value. Health Aff (Millwood) 27 (2008) 1467-1478
6. US Government Accountability Office. Rapid spending growth and shift to physician offices indicate need for CMS to consider additional management practices (GAO-08-452). http://www.gao.gov/new.items/d08452.pdf Accessed August 12, 2009
7. Berenson A., and Abelson R. Weighing the costs of a CT scan's look inside the heart (June 29, 2008), The New York Times
8. US Government Accountability Office. Medicare: trends in fees, utilization, and expenditures for imaging services before and after implementation of the Deficit Reduction Act of 2005 (GAO-08-1102R). http://www.gao.gov/new.items/d081102r.pdf Accessed August 12, 2009
9. Senate Finance Committee. Description of policy options: transforming the health care delivery system: proposals to improve patient care and reduce health care costs. http://finance.senate.gov/sitepages/legislation.htm Accessed June 14, 2009
10. Smith-Bindman R., Miglioretti D.L., and Larson E.B. Rising use of diagnostic medical imaging in a large integrated health system. Health Aff (Millwood) 27 (2008) 1491-1502
11. United States Senate Committee on Finance. Finance Committee questions for the record: hearing on confirmation of GovKathleen Sebelius to be secretary of health and human services, April 2, 2009. http://finance.senate.gov/hearings/testimony/2009test/040209QFRs%20for%2 0SubmissionKS.pdf Accessed June 24, 2009
12. 73 Fed Reg 69726, 69793-98 (November 19, 2008).