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Only 1% of Radiologist Claims were Out of Network in 2021

Imaging Technology

milla1cf Wed, 01/24/2024 - 19:08 January 24, 2024 — A study by the Neiman Health Policy Institute found that, by 2021, only 1.1% As such, by 2021, radiologists practiced almost exclusively in-network. There were similar declines for claims associated with inpatient stays—10.2% and for claims associated with ED visits—3.9%

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Radiologists rapidly launch inpatient IR consult service that’s generating tens of thousands in new revenue

Radiology Business

Between 2020-2021 (and amid the pandemic), interventional consult volumes climbed 13%, while consult-specific payments leapt by 84%, experts detailed.

Inpatient 119
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Ultrasound use shifts among radiologists, nonphysician practitioners

AuntMinnie

Neiman Health Policy Institute in Reston, VA, found that office ultrasound services have been mostly performed by radiologists while hospital outpatient and inpatient services have been performed more by cardiologists and cardiac surgeons. from 2009 to 2021. for the inpatient setting. and inpatient settings from 25.1%

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Chest x-ray AI shines in ‘real-world’ setting

AuntMinnie

A PACS-integrated AI tool not only correctly identified pneumothorax on inpatient chest x-rays but also prioritized scans and improved radiologist reporting times, according to a group in Cleveland, OH. The research was published October 29 in Academic Radiology.

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Automated protocoling algorithm reduces radiologist CT workload

AuntMinnie

Study timeframes included a pilot stage (July to December 2020), an implementation stage (January to December 2021), and a post-implementation stage (January to December 2022). Inpatient exams 3.5 The researchers evaluated protocol error rates by numbers of quality improvement reports and exams recalls. during the pilot phase, 42.2%

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Independent Dispute Resolution of No Surprises Act Financially Unviable for Radiology

Imaging Technology

s accepted manuscript extracted claims from Optum’s de-identified Clinformatics Data Mart Database for hospital-based specialties occurring the same day as in-network emergency visits or inpatient stays (January 2017–December 2021). Christensen et al.’s After identifying OON claims, claims were then batched via simulated IDR rules.

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IDR process financially unfeasible for radiologists

AuntMinnie

The researchers gathered claims data from a national commercial database (Clinformatics Data Mart Database, Optum) for hospital-based specialties occurring on the same day as in-network emergency department visits or inpatient stays from 2017 to 2021. From there, they simulated out-of-network claims using IDR rules.