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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.

One of the first proven applications for multislice CT was trauma, a clinical role affirmed by past International Symposia on Multidetector-Row CT and the one going on now in San Francisco. Over the last several years, however, another issue -- patient radiation dose -- has surfaced, calling some MSCT applications into question. Any concerns about radiation dose are vastly outweighed, however, by the benefits of CT when it comes to dealing with trauma patients.

Bucking the tide of medical professional opinion, the Centers for Medicare and Medicaid Services has decided against granting payment for CT colonography as a screening test for colorectal cancer. CMS ruled Tuesday that the clinical evidence remains inadequate to conclude that CTC is appropriate for that role.

Multiple studies have shown CT colonography to be just as efficacious and cost-effective as colonoscopy for colon cancer screening. Now Italian and U.S. researchers have found that CTC also does something colonoscopy cannot: simultaneously detect colorectal cancer and abdominal aortic aneurysms.

Dr. James Thrall, chair of the American College of Radiology Board of Chancellors, predicted during the opening session of the college’s annual meeting Sunday that Congress will adopt healthcare reforms in 2009 and that of all the pending proposals, Medicare legislation has the greatest likelihood of passage.

A white paper on imaging preauthorization guidelines produced by the American College of Radiology and the Radiology Business Management Association has drawn mixed reactions, particularly among radiology benefit managers. The benefit managers agree that management programs may lack consistency and add costs. But they also worry the guidelines may weaken efforts to control imaging overutilization.

The Blue Cross Blue Shield Association has recommended boosting payments to primary care physicians and paying for them with cuts to imaging services. The suggestion came during a congressional hearing on healthcare reform held by the Senate Finance Committee. Imaging proponents say they will challenge any proposal lacking evidence to support it.