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A major reform of the nation’s healthcare system, the America’s Affordable Health Choices Act, was introduced in the House of Representatives this week. To the delight of many physicians, the bill would eliminate the sustainable growth rate formula. To the chagrin of radiologists, it would also bring further reimbursement cuts for advanced imaging services.

Let’s face it. Our current healthcare system has dealt most of the winning cards to radiologists. Radiologists hold some of the best paying jobs in medicine. The hours are regular. The time off for continuing education and other nonclinical pursuits is generous. And the opportunity to work mainly in an outpatient setting can lower professional anxieties considerably.

Before she began using coding and billing computer applications developed specifically for radiology, Yvonne Moncovich, director of operations at Straightline Medical in Wilmington, NC, employed more people, struggled with an import/export function, and manually input data. Usually more than once.

Angry backers of CT colonography for colorectal cancer screening are regrouping after the Centers for Medicare and Medicaid Services repulsed their efforts to secure Medicare coverage for the procedure.

The American College of Radiology has alerted members to a fax-based fraud that asks radiologists for business-related information that is then used to bill Medicare for fraudulent services.

A set of healthcare reform funding options presented to the Senate Finance Committee has confirmed imaging provider fears about possible payment cuts. One option includes a Medicare Payment Advisory Commission proposal to recalculate the Medicare payment formula for the technical component of imaging services.

With obstacles to routine Medicare reimbursement of FDG-PET for most cancer cases cleared away, the imaging community is now focusing attention on private insurers and coverage policies that restrict access to the imaging technology.

Lately our political system has taken on religious trappings. We are asked to have faith in our institutions, in the leaders we elected, in our values…faith that these eventually will get us back to normalcy. In the long run, I have no doubt they will. It’s the near term that worries me.