Journal of the American College of Radiology
Volume 6, Issue 2 , Pages 119-124 , February 2009

Experience of an Academic Neuroradiology Division Participating in a Utilization Management Program

  • David P. Friedman, MD

      Affiliations

    • Department of Radiology, Jefferson Medical College and Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
    • Corresponding Author InformationCorresponding author and reprints: David P. Friedman, MD, Thomas Jefferson University Hospita1, Department of Radiology, 132 South 10th Street, Suite 1068, Main Building, Philadelphia, PA 19107
    • ,
  • Nancy S. Smith, BA

      Affiliations

    • Department of Radiology, Jefferson Medical College and Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
    • ,
  • Robert L. Bree, MD

      Affiliations

    • Department of Radiology, University of Washington Medical Center, Seattle, Washington
    • HealthHelp, Inc, Houston, Texas
    • ,
  • Vijay M. Rao, MD

      Affiliations

    • Department of Radiology, Jefferson Medical College and Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

References 

  1. Tynan A, Berenson RA, Christianson JB. Health plans target advanced imaging services: cost, quality and safety concerns prompt renewed oversight (Center for Studying Health System Change Issue Brief No. 118). http://www.hschange.com/CONTENT/968/Accessed December 19, 2008
  2. Janes C. No love for radiology. Imaging Econ. 2005;1–5July
  3. Medicare Payment Advisory Commission. Medicare payment policy, report to Congress. Washington, DC: Medicare Payment Advisory Commission; 2007;
  4. Budget Deficit Reduction Act of 2005, Pub L 109-171.
  5. In:  Gray BH,  Field MJ editor. Controlling costs and changing patient care? (The role of utilization management). Washington, DC: National Academy Press; 1989;p. 17
  6. Otero HJ, Ondategui-Parra S, Nathanson EM, et al. Utilization management in radiology: basic concepts and applications. J Am Coll Radiol. 2006;3:351–357
  7. Koike A, Klap R, Unutzer J. Utilization management in a large managed behavioral health organization. Psychiatr Serv. 2000;51:621–626
  8. American College of Radiology. ACR Appropriateness Criteria® 2004-2008. http://www.acr.org/acAccessed December 19, 2008
  9. Levy G, Blachar A, Goldstein L, et al. Nonradiologist utilization of American College of Radiology Appropriateness Criteria in a preauthorization center for MRI requests: applicability and effects. AJR Am J Roentgenol. 2006;187:855–858

PII: S1546-1440(08)00412-2

doi: 10.1016/j.jacr.2008.08.006

Journal of the American College of Radiology
Volume 6, Issue 2 , Pages 119-124 , February 2009

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