Nav: Home

The rise of secondary imaging interpretations

July 17, 2018

A new Harvey L. Neiman Health Policy Institute study assesses the increased growth of secondary interpretations of diagnostic imaging examinations in the Medicare population. The study is publishing online in the Journal of American College of Radiology (JACR).

Rosenkrantz and team used aggregate Part B fee-for-service claims frequency and payment data from the Medicare Physician/Supplier Procedure Summary Master Files for 2003 to 2016. Billed and denied services volumes were calculated and compared across modality and body region service families.

Seven service families showed a compound annual growth rate from 2003 to 2016 of >20%. For select high-volume service families, which include chest radiography and fluoroscopy [R&F], brain MRI, and abdominal and pelvic CT, relative growth in billed secondary interpretation services exceeded that for primary interpretations. In 2016, body region and modality service families with the most billed secondary interpretations were chest R&F, abdominal and pelvic R&F, brain CT, extremity R&F, abdominal and pelvic CT, and chest CT. All service families had secondary interpretation denial rates <25% in 2016.

"Among Medicare beneficiaries, the frequency of billed secondary interpretation services for diagnostic imaging services increased from 2003 to 2016 across a broad range of modalities and body regions, often dramatically," said Andrew Rosenkrantz, MD, MPA, professor and director of health policy in the department of radiology at NYU Langone Health and a Neiman Institute affiliate research fellow. "Contrary to conventional wisdom, denial rates for secondary interpretation services are now uniformly low, with denial rates of less than 10% for many imaging service families, comparable with previously reported denial rates for primary interpretations."

"Increasing referring physician demand for, and payer acceptance of, secondary interpretation services affirms the unique value of subspecialized practices that offer these services," said study senior author Richard Duszak, MD, FACR, professor and vice chair for health policy and practice in the department of radiology and imaging sciences at Emory University and senior affiliate research fellow at the Neiman Institute. "As CMS continues to seek input on appropriate coverage for these services, these findings suggest increasing clinical demand for and payer acceptance of these value-added radiologist services.
-end-
To obtain a copy of the study or to arrange an interview with a Neiman Institute spokesperson, contact Nichole Gay at (703) 648-1665 or ngay@neimanhpi.org.

About the Harvey L. Neiman Health Policy Institute

The Harvey L. Neiman Health Policy Institute is one of the nation's leading medical imaging socioeconomic research organizations. The Neiman Institute studies the role and value of radiology and radiologists in evolving health care delivery and payment systems and the impact of medical imaging on the cost, quality, safety and efficiency of health care. Visit us at http://www.neimanhpi.org and follow us on Twitter, LinkedIn and Facebook.

Harvey L. Neiman Health Policy Institute

Related Diagnostic Imaging Articles:

A diagnostic test for ALS
Researchers at VIB, KU Leuven, and UZ Leuven, in collaboration with researchers at the University of Jena, have demonstrated that measuring neurofilaments provides reliable confirmation of an ALS diagnosis.
Researchers propose new diagnostic model for psychiatric disorders
A consortium of 50 psychologists and psychiatrists, including Notre Dame professors Lee Anna Clark and David Watson, has outlined a new diagnostic model for mental illness.
Sentinels in the blood: A new diagnostic for pancreatic cancer
Tony Hu, a researcher in the Biodesign Virginia G. Piper Center for Personalized Diagnostics and his colleagues have devised a crafty method to identify pancreatic cancer early in its development.
New UTIA center to provide weed diagnostic tests
Employing both whole-plant and molecular methods, specialists at the University of Tennessee Weed Diagnostics Center provide a wide range of services from basic weed identification to herbicide resistance tests using DNA screening.
New diagnostic instrument sees deeper into the ear
A new device could greatly improve ear infection diagnoses and drastically reduce unnecessary antibiotic prescriptions, a major cause of antibiotic resistance.
Using tau imaging as diagnostic marker for Alzheimer disease
The accumulation of β-Amyloid (Αβ) and tau proteins in the brain is hallmark pathology for Alzheimer disease.
Toward a diagnostic blood test for endometriosis
Endometriosis is a chronic, often painful disease affecting up to 10 percent of women of reproductive age in the US.
Novel portable diagnostic tool pairs optical and gamma imaging
Bigger isn't always better, especially when it comes to a new and surprisingly portable molecular imaging system that combines optical imaging at the surface level and scintigraphy, which captures the physiological function of what lies beneath, announced developers at the 2016 Annual Meeting of the Society of Nuclear Medicine and Molecular Imaging (SNMMI).
Ghost imaging in the time domain could revolutionize disturbance-sensitive signal imaging
Research results recently presented in the distinguished Nature Photonics journal open up new outlooks on ghost imaging in the time domain.
Futuristic diagnostic tools to help health-care professionals
The first University-Industry Cooperative Research Venture, Conecson Co., Ltd., which was launched at UNIST, Ulsan, South Korea has recently developed a new diagnostic system that will reduce the costs of high-level health care.

Related Diagnostic Imaging Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Setbacks
Failure can feel lonely and final. But can we learn from failure, even reframe it, to feel more like a temporary setback? This hour, TED speakers on changing a crushing defeat into a stepping stone. Guests include entrepreneur Leticia Gasca, psychology professor Alison Ledgerwood, astronomer Phil Plait, former professional athlete Charly Haversat, and UPS training manager Jon Bowers.
Now Playing: Science for the People

#524 The Human Network
What does a network of humans look like and how does it work? How does information spread? How do decisions and opinions spread? What gets distorted as it moves through the network and why? This week we dig into the ins and outs of human networks with Matthew Jackson, Professor of Economics at Stanford University and author of the book "The Human Network: How Your Social Position Determines Your Power, Beliefs, and Behaviours".