Journal of the American College of Radiology
Volume 6, Issue 12 , Pages 832-836 , December 2009

In Through the Out Door: AMCLC 2009 Council Perceptions of Self-Referral

  • Cynthia Sherry, MD

      Affiliations

    • Department of Radiology, Texas Health Presbyterian Dallas, Dallas, Texas
    • Corresponding Author InformationCynthia Sherry, MD, Department of Radiology, Texas Health Presbyterian Dallas, 8200 Walnut Hill Lane, Dallas, TX 75231
  • ,
  • Charles Bowkley, MD

      Affiliations

    • Department of Radiology, Neurointerventional Division, Johns Hopkins School of Medicine, Baltimore, Maryland
  • ,
  • Geoffrey Ibbott, PhD

      Affiliations

    • Department of Radiation Physics UT MD Anderson Cancer Center, Houston, Texas
  • ,
  • Alan D. Kaye, MD

      Affiliations

    • Department of Radiology, Bridgeport Hospital, Bridgeport, Connecticut
  • ,
  • Brad Short

      Affiliations

    • American College of Radiology, Reston, Virginia

References 

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  2. Medicare Payment Advisory Commission. Report to the Congress: improving incentives in the Medicare program. http://www.medpac.gov/documents/Jun09_EntireReport.pdfAccessed August 31, 2009
  3. Integrity in Medicare Advanced Diagnostic Imaging Act of 2009. http://www.thomas.gov/cgi-bin/query/z?c111:H.R.2962:Accessed August 31, 2009
  4. Imaging self-referral: an inside manifesto. [Post to AuntMinnie.com, Imaging Center Digital Community, by user Bill W.] http://www.auntminnie.com/index.asp?Sec=sup&Sub=imc&Pag=dis&ItemId=85062[registration required]. Accessed August 31, 2009
  5. Thevenot L. Medicare program. payment policies under the Physician Fee Schedule and other revisions to Part B for CY 2009 (CMS-1403-FC) http://www.astro.org/PublicPolicy/CommentLettersTestimonyAndReports/documents/PFSCY09FINAL.pdfAccessed August 31, 2009
  6. Maryland General Assembly. Maryland Self-Referral Law (House Bill 1280). 1993;
  7. Brenner DJ, Hall EJ. Computed tomography—an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–2284
  8. MacMahon H, Austin JHM, Gamsu G, et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology. 2005;237:395–400Accessed October 26, 2009
  9. American College of Radiology. Practice Leaders' Resource Center. http://practiceleaders.acr.orgAccessed October 26, 2009
  10. Hillman BJ. Frequency and costs of diagnostic imaging in office practice: a comparison of self-referring and radiologist-referring physicians. N Engl J Med. 1990;323:1604–1608
  11. Hillman BJ, Olson GT, Griffith PE, et al. Physicians' utilization and charges for out-patient diagnostic imaging in a Medicare population. JAMA. 1992;268:2050–2054
  12. Mitchell JM. Utilization trends for advanced imaging procedures. Med Care. 2008;46:460–466
  13. Gazelle GS, Halpern EF, Ryan HS, Tramontano AC. Utilization of diagnostic medical imaging: comparison of radiologist referral versus same-specialty referral. Radiology. 2007;245:517–522
  14. Levin DC, Rao VM, Parker L, Frangos AJ, Sunshine JH. Ownership or leasing of MRI facilities by nonradiologist physicians is a rapidly growing trend. J Am Coll Radiol. 2008;5:105–109
  15. Kolata G. Medical imaging draws scrutiny from industry. The New York Times; March 1, 2009;
  16. American College of Radiology. State-by-state comparison of physician self-referral laws. http://www.acr.org/SecondaryMainMenuCategories/GR_Econ/FeaturedCategories/state/compare_laws.aspxAccessed August 31, 2009
  17. Texas Legislature. A bill to be entitled an act relating to the registration of diagnostic imaging equipment, the accreditation of diagnostic imaging facilities, and the regulation of diagnostic imaging providers; providing penalties (House Bill 2599). http://www.legis.state.tx.us/tlodocs/81R/billtext/pdf/HB02599I.pdfAccessed August 31, 2009
  18. Gawande A. The cost conundrum: what a Texas town can teach us about health care (The New Yorker). http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawandeAccessed August 31, 2009
  19. Emanuel EJ, Fuchs VR. The perfect storm of overutilization. JAMA. 2008;299:2789–2791

PII: S1546-1440(09)00389-5

doi: 10.1016/j.jacr.2009.07.022

Journal of the American College of Radiology
Volume 6, Issue 12 , Pages 832-836 , December 2009