Radiology

ICD-10: The Countdown is On

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ICD-10 Readiness for Radiology Departments With six months to go until ICD-10 implementation, ICD-10 is a focus for many healthcare organizations. Most hospitals are making investments in ICD-10 migration tools this year, according to a survey of hospital executives. CMS timelines indicate that health systems should be a full year into testing for readiness, with testing recommended to have begun in April of last year. Final steps should be underway now to ensure that employees are fully trained and ready for the transition from ICD-9 to ICD-10, including in radiology.

 

No Sweeping Pronouncements Needed, Just Value-Based Imaging

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Imaging Utilization for CTOne size does not fit all when it comes to imaging use, so it makes sense that it’s not a fit for utilization optimization, either. Indeed, a recent study suggests a targeted approach to managing imaging utilization could be more effective than a national intervention.

In “Use of Public Data to Target Variation in Providers’ Use of CT and MR Imaging among Medicare Beneficiaries” (February 5, Radiology), a team of authors led by Dr. Ivan Ip examined geographic trends in imaging referrals. They found a wide variation in use, ranging from 330 studies per 1,000 beneficiaries to 684 per 1,000. The research team used a pair of public CMS databases to assess 124 million diagnostic imaging services provided to Medicare beneficiaries in 2012.

 

Making Use of Dark Matter: Radiology and Big Data

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Physician Leveraging Big Data for ImagingHow can we improve the relationship between computers and radiologists? How can we make use of dark matter (all the information currently not being mined from our images)? How can we combine data sets to calculate critical conditions like malignancy?

The answer to all of these questions is big data. And if it sounds a bit futuristic, that’s because it is.

 

Achieve True Value-Added Radiology With ‘Real-Time’ EMR Data Mining

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EditorMichael Grey’s Note: This article was originally published in the February 2015 edition of DOTmed® HealthCareBusiness News and is republished here with permission.

The concept of value-added radiology (VAR) embraces a number of objectives — from initial involvement with care team physicians in determining the correct study to order, to improving the quality of the interpretation and turnaround time. This VAR concept coincides with the shift in radiology from volume- to value-based reimbursement. Perhaps a more fundamental point of VAR should be elevating the radiologist’s role above merely interpreting the imaging study…basically interpreting the study in a more holistic (and accountable) manner and not based on the images alone.

 

Customer Spotlight: Steinberg Diagnostic Medical Imaging Supports Growth with Strong PACS and Clinically Experienced PACS Administrator

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Steinberg Medical Imaging CenterEditor’s Note: This article was originally published by Claudette Lew on the ImagingBiz website and is republished here with permission.

When Dane’lle Southern was approached by Steinberg Diagnostic Medical Imaging Centers’ (SDMI) CIO to take on the role of PACS administrator for the company, she initially declined, and remembers thinking she couldn’t possibly be a good fit for the position. The CIO thought differently, and saw that her experience as an imaging technologist could only make a PACS administrator stronger. Having successfully completed nearly two years as PACS administrator, Southern revisits her experience to share how SDMI has best utilized her skills to bridge the gap between clinical and IT staff.

 

Customer Spotlight: Atlanta Medical Center Deploys Enterprise-wide, Web-based PACS Using Existing Workflows and Secure SSO Solution

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Atlanta Medical CenterEditor’s Note: This article was originally published by Claudette Lew on the ImagingBiz website and is republished here with permission.

The information systems team at Atlanta Medical Center is not only keeping pace with the rate at which technology is evolving in healthcare, they’re taking the lead. A facility with a reputation for technological innovation in healthcare, AMC developed a comprehensive solution to a new challenge faced by information systems management when deploying a PACS client enterprise-wide in a large healthcare facility.

 

Q&A with New RSNA President Ronald L. Arenson, M.D.

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Radiology is iRSNA 2015 President Dr. Ronald L. Arenson Q&A n a time of transition. From moving toward value-based reimbursement models to focusing on patient-centered care, professionals working in the radiology department are experiencing an era of change throughout the industry. Radiologists are being called upon to take proactive steps to prove their value like never before.

In this time of change, RSNA President Ronald L. Arenson, M.D., FACR, is looking at the year ahead. In this Q&A, he discusses how radiology can adapt to complex changes, including value-based care models and continued efforts to contain costs.

 

 

 

Are You Ready for ICD-10?

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ICD-10 Readiness for RadiologyAs of today, the CMS is still planning on moving to ICD-10 codes on October 1, 2015. Will you, in the imaging world, be ready? While physicians and clinical staff will not be necessarily responsible for correct coding, the documentation that they do will greatly affect the way diagnoses and procedures are coded, and as a result, the way facilities and practitioners are reimbursed. It “pays” to take a few minutes to be sure that the documentation that you produce is clear, complete and detailed.

 

Infographic Educates Patients about Imaging, Supporting Move to Value-Based Care

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Value-Based Care InfographicThe cost of unnecessary imaging in the United States, examinations that waste resources and expose patients to unnecessary risks, has been estimated at more than $12 billion annually.

Value-based care strategies and the use of evidence-based medicine both emphasize the judicious use of imaging, but patients should be active participants in any discussion. Engaging patients can be difficult because most do not fully understand the uses of and differences among imaging modalities.

 

Recent Events Clarify the Likely Future of Lung Cancer Screening in the United States

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LDCT Lung Cancer Screening This is an update to my earlier post discussing how the early detection of lung cancer via low-dose computed tomography (LDCT) has been shown to be effective enough in certain populations to warrant a screening program, but that coverage of such a program under Medicare was the subject of some debate.

CMS (Preliminary) Decision

The big news, of course, is that in mid-November CMS made a proposed Decision Memo indicating that Medicare would, indeed, cover lung cancer screening.

The final ruling from CMS is expected in February 2015 and could include some further refinements to the program currently outlined (more on that below).