Association between physician billing and cardiac stress testing patterns following coronary revascularization

JAMA

Volumn 306, Issue 18, 2011, Pages 1993-2000

  Shah, Bimal R ^a   Cowper, Patricia A ^a   O'Brien, Sean M ^a   Jensen, Neil ^b   Patel, Manesh R ^a   Douglas, Pamela S ^a   Peterson, Eric D ^a  

^a DUKE CLINICAL RESEARCH INSTITUTE   (United States)

^b UNITED HEALTHCARE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; EXERCISE TEST; FEMALE; FOLLOW UP; HEALTH CARE COST; HEART FUNCTION TEST; HEART MUSCLE REVASCULARIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICAL PRACTICE; MEDICAL SERVICE; NATIONAL HEALTH INSURANCE; NUCLEAR STRESS TEST; OUTPATIENT CARE; PRIORITY JOURNAL; STRESS ECHOCARDIOGRAPHY; TECHNICAL FEE;

EID: 80755171425     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2011.1604     Document Type: Article

References (19)

1. MedPAC June 2009 Report to Congress. http://www.medpac.gov/documents/ Jun09-EntireReport.pdf. Accessed October 1, 2011.
2. MedPAC March 2010 Report to Congress. http: //www.medpac.gov/documents/ Mar10-EntireReport.pdf. Accessed October 1, 2011.
3. Levin DC, Rao VM. Turf wars in radiology: updated evidence on the relationship between self-referral and the overutilization of imaging. J Am Coll Radiol. 2008;5(7):806-810. (Pubitemid 351893054)
4. Hillman BJ, Goldsmith J. Imaging: the self-referral boom and the ongoing search for effective policies to contain it. Health Aff (Millwood). 2010;29(12):2231-2236.
5. Hendel RC, Berman DS, Di Carli MF, et al. ACCF/ASNC/ACR/AHA/ASE/SCCT/ SCMR/SNM 2009 appropriate use criteria for cardiac radionuclide imaging: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine. Circulation. 2009;119(22):e561-e587.
6. Hendel RC, Patel MR, Kramer CM, et al. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/ SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology. J Am Coll Cardiol. 2006;48(7):1475-1497.
7. Douglas PS, Garcia MJ, Haines DE, et al. ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/ SCCM/SCCT/SCMR 2011 appropriate use criteria for echocardiography: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance Endorsed by the American College of Chest Physicians. J Am Coll Cardiol. 2011;57(9):1126-1166.
8. Gray RJ. A class of K-sample tests for comparing the cumulative incidence of a competing risk. Ann Stat. 1988;16(3):1141-1154.
9. Levin DC, Rao VM, Parker L, Frangos AJ, Intenzo CM. Recent payment and utilization trends in radionuclide myocardial perfusion imaging: comparison between self-referral and referral to radiologists. J Am Coll Radiol. 2009;6(6):437-441.
10. Gazelle GS, Halpern EF, Ryan HS, Tramontano AC. Utilization of diagnostic medical imaging: comparison of radiologist referral versus same-specialty referral. Radiology. 2007;245(2):517-522. (Pubitemid 47612534)
11. Hillman BJ, Joseph CA, Mabry MR, Sunshine JH, Kennedy SD, Noether M. Frequency and costs of diagnostic imaging in office practice: a comparison of self-referring and radiologist-referring physicians. N Engl J Med. 1990;323(23):1604-1608.
12. Hollingsworth JM, Birkmeyer JD, Zhang YS, Zhang L, Hollenbeck BK. Imaging use among employed and self-employed urologists. J Urol. 2010;184(6):2480-2484.
13. Hughes DR, Bhargavan M, Sunshine JH. Imaging self-referral associated with higher costs and limited impact on duration of illness. Health Aff (Millwood). 2010;29(12):2244-2251.
14. Hendel RC, Cerqueira M, Douglas PS, et al. A multicenter assessment of the use of single-photon emission computed tomography myocardial perfusion imaging with appropriateness criteria. J Am Coll Cardiol. 2010;55(2):156-162.
15. Mehta R, Ward RP, Chandra S, Agarwal R, Williams KA; American College of Cardiology Foundation; American Society of Nuclear Cardiology. Evaluation of the American College of Cardiology Foundation/American Society of Nuclear Cardiology appropriateness criteria for SPECT myocardial perfusion imaging. J Nucl Cardiol. 2008;15(3):337-344.
16. Gerber TC, Carr JJ, Arai AE, et al. Ionizing radiation in cardiac imaging: a science advisory from the American Heart Association Committee on Cardiac Imaging of the Council on Clinical Cardiology and Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention. Circulation. 2009;119(7):1056-1065.
17. Fazel R, Krumholz HM, Wang Y, et al. Exposure to low-dose ionizing radiation from medical imaging procedures. N Engl J Med. 2009;361(9):849-857.
18. Lentine KL, Schnitzler MA, Abbott KC, Bramesfeld K, Buchanan PM, Brennan DC. Sensitivity of billing claims for cardiovascular disease events among kidney transplant recipients. Clin J Am Soc Nephrol. 2009;4(7):1213-1221.
19. Fowles JB, Lawthers AG, Weiner JP, Garnick DW, Petrie DS, Palmer RH. Agreement between physicians'office records and Medicare Part B claims data. Health Care Financ Rev. 1995;16(4):189-199.