Breaking News
April 18, 2019 - Scientists enter research collaboration to find a cure for cancer
April 18, 2019 - Study to compare benefits of tai chi and mindfulness meditation on MS symptoms
April 18, 2019 - Gestational diabetes during pregnancy may increase risk of type 1 diabetes in children
April 18, 2019 - Is a New Remedy for Body Odor on the Horizon?
April 18, 2019 - Orthostatic hypotension – Genetics Home Reference
April 18, 2019 - Healing the heartbreak of stillbirth and newborn death
April 18, 2019 - Conference to highlight advances in human immune monitoring, bioinformatics | News Center
April 18, 2019 - Bacteria use viruses for self-recognition, study reveals
April 18, 2019 - New adhesive patch could help reduce post-heart attack muscle damage
April 18, 2019 - Researchers analyze the effects of dark play in a serious video game
April 18, 2019 - Filial cannibalism and offspring abandonment may be forms of parental care
April 18, 2019 - Two proteins act in concert to maintain a healthy heart in mice, shows study
April 18, 2019 - Scientists create a functioning 3D printed heart
April 18, 2019 - Non-invasive vagus nerve stimulation improves disease symptoms in patients with rheumatoid arthritis
April 18, 2019 - Majority of men struggle to understand diagnosis and treatment of prostate cancer
April 18, 2019 - Researchers create new small molecules that may combat equine encephalitis viruses
April 18, 2019 - Animal-assisted therapy improves social behavior in patients with brain injuries
April 18, 2019 - Some viruses help protect harmful bacteria in CF patients | News Center
April 18, 2019 - Outpatient healthcare providers inappropriately prescribe antibiotics to 40% of patients
April 18, 2019 - Men who have a resting heart rate of 75 bpm are twice as likely to die early
April 18, 2019 - Novel serum biomarkers to detect NAFLD-related fibrosis
April 18, 2019 - New study delves deeper into individual genomic differences than ever before
April 18, 2019 - Gilead and Galapagos Announce Filgotinib Meets Primary Endpoint in the Phase 3 FINCH 3 Study in Methotrexate-Naïve Rheumatoid Arthritis Patients
April 18, 2019 - Emotional mirror neurons found in rats
April 18, 2019 - Sylvia Plevritis appointed chair of biomedical data science | News Center
April 18, 2019 - Yeast strain provides manufacturing boost to low-calorie sweetener derived from lactose
April 18, 2019 - C-Path and CDISC release global Therapeutic Area Standard for HIV research
April 18, 2019 - Integrating AI to analyze imaging data allows early recognition of heart disease
April 18, 2019 - Low-cost, high-speed algorithm may allow animal-free chemical toxicity testing
April 18, 2019 - HPV-negative cervical cancers are more aggressive with worse prognosis
April 18, 2019 - AI detects prostate cancer with same level of accuracy as experienced radiologists
April 18, 2019 - Study resolves sex differences in psychiatric illness risk
April 18, 2019 - Novartis Announces FDA Filing Acceptance and Priority Review of Brolucizumab (RTH258) for Patients with Wet AMD
April 18, 2019 - Cocktail of common antibiotics can fight resistant E. coli
April 18, 2019 - Persis Drell to give keynote address at medical school diploma ceremony | News Center
April 18, 2019 - EpicTogether: Remembering Our Why
April 18, 2019 - Study identifies novel loci contributing to asthma susceptibility in adults
April 18, 2019 - Gut bacteria and pregnancy
April 18, 2019 - New study finds that screening could help prevent rare types of cervical cancer
April 17, 2019 - Spatial orgnization of the genome can be altered using small molecules
April 17, 2019 - AEDs Tied to Higher Pneumonia Risk in Alzheimer Patients
April 17, 2019 - Telemedicine tied to more antibiotics for kids, study finds
April 17, 2019 - Two medical students awarded 2019 Soros Fellowships for New Americans | News Center
April 17, 2019 - Sociologist Constance A. Nathanson Awarded Guggenheim Fellowship
April 17, 2019 - Empathy and hormones could account for aggressive behavior in children, shows study
April 17, 2019 - Researchers develop oral appliance to help sufferers of sleep apnea
April 17, 2019 - Neuronal transport factor detects its target transcripts in more complex manner than previously thought
April 17, 2019 - New drug-delivery system senses high oxidant levels, responds to body chemistry and environment
April 17, 2019 - Health Tip: Horseback Trail Riding Safety
April 17, 2019 - Scientists outline the promises and pitfalls of machine learning in medicine
April 17, 2019 - $12 million grant renewal for flu vaccine research | News Center
April 17, 2019 - Lisa Kachnic, MD, Joins Columbia University as Chair of Radiation Oncology
April 17, 2019 - New study sheds light on how extreme temperature hampers spermatogenesis in insects
April 17, 2019 - Study tests high-tech, non-pharmaceutical way to address ADHD and distractibility
April 17, 2019 - New EZ-2 evaporator for clinical biochemistry sample preparation
April 17, 2019 - Fat shaming celebrities may make women more judgemental about being overweight
April 17, 2019 - Magic mouthwash effectively reduces mouth sore pain caused by radiation therapy
April 17, 2019 - CBD could help slip medications into the brain
April 17, 2019 - Scientists characterize 2017 pneumonic plague outbreak in Madagascar
April 17, 2019 - Human iPSC-derived MSCs from aged individuals acquire a rejuvenation signature
April 17, 2019 - Gun Research Is Suddenly Hot
April 17, 2019 - Employee wellness programs provide little health benefits
April 17, 2019 - Cannabis users could be more tolerant to anesthesia agents
April 17, 2019 - Study suggests new approach to treat renal fibrosis
April 17, 2019 - Green roofs may improve indoor air quality, study shows
April 17, 2019 - Selumetinib Granted U.S. Breakthrough Therapy Designation in Neurofibromatosis Type 1
April 17, 2019 - Fasting-mimicking diet holds promise for treating people with inflammatory bowel disease
April 17, 2019 - Daily cannabis use significantly higher among individuals with serious psychological distress
April 17, 2019 - Victims of bullying have greater chances of mental health problems, unemployment in later life
April 17, 2019 - Strategies to achieve greater vaccination coverage throughout Europe
April 17, 2019 - Online atlas created to identify, classify protein signatures present at AML diagnosis
April 17, 2019 - £1.8 million award to boost Crohn’s disease research
April 17, 2019 - Oxytocin blocks excess drinking in alcohol-dependent rats
April 17, 2019 - Rutgers researchers identify new factor essential for maintaining stem cells in the brain and gut
April 17, 2019 - Universal late pregnancy ultrasound improves health of mothers, babies and could be cost saving
April 17, 2019 - Cosmo Pharmaceuticals Announces Submission of Remimazolam NDA to FDA
April 17, 2019 - Stopping inflammation from becoming chronic
April 17, 2019 - Planned Parenthood’s ‘Risky Strategy’ To Update Its Image
April 17, 2019 - Common sleep myths may pose a significant public health threat
April 17, 2019 - Indicators of despair rising among Americans entering midlife
Interventional Radiology Has a Problem of ‘Unseen’ Value

Interventional Radiology Has a Problem of ‘Unseen’ Value

image_pdfDownload PDFimage_print

LOS ANGELES — It’s up to interventional radiologists themselves to demonstrate their value to the healthcare system, as suggested by practicing clinicians here who shared ways to maximize one’s appreciation from various stakeholders.

With RVUs down, “we’re not viewed as profit centers as much as we used to be,” said Michael Brunner, MD, of the William S. Middleton Memorial Veterans Hospital in Madison, Wis., speaking at the Society of Interventional Radiology (SIR) annual meeting. But there’s still “intangible value” that interventional radiologists bring in.

“It’s just not as well recognized,” he said. “We do so many things that we would be impossible to replace.” He listed diagnostic radiology, vascular surgery, interventional cardiology, general surgery, and surgical oncology as just a few examples of fields where he and his colleagues end up sharing turf from time to time.

The problem is that their delivery of high-value healthcare — say, percutaneous abscess drainage, image-guided biopsy, transjugular intrahepatic portosystemic shunts, central venous access, and liver-directed therapy — is rarely matched in recognition or reward, Brunner said.

Recognition for Service

To see the indirect value that services provide, take the master carpenter, Brunner said: “They’re the ones that build cabinetry and do the real finish work. What they do is give the ability for less-skilled practitioners to do work quickly while the master fixes it at the end. It’s one problem-solver who fixes things, absorbs the inefficiencies.”

In this sense, interventional radiologists are the master carpenters, “enabling success where many fail,” even when much of their work is “unseen.”

Quaternary-care hospitals with these clinicians do a service for other institutions by letting them cherry-pick cases as they themselves take on more complex ones, Brunner continued. “They let primary, secondary, tertiary centers get away with doing their thing … to survive and get things done at a cheaper level.

“What I’m suggesting here is that basically if other services do simpler cases due to cherry-picking — or less-skilled or more risk-adverse providers can produce the same procedures that we do and IR [interventional radiology] is consulted to ensure success — we would get credit for either the revenue or productivity that we enable.

“This is not to suggest that IR be compensated from revenue accrued by other services, but rather that numbers be used to show IR’s invisible but quantifiable contribution.”

Brunner’s take-away was that the total value of interventional radiology goes beyond its own visible productivity numbers.

Correct E&M Billing

Compensation also follows billing and if not done carefully, leaves a gap between the interventional radiologist’s care provided and the pay actually received, according to another presentation at the meeting.

Sarah White, MD, MS, of Medical College of Wisconsin in Milwaukee, reviewed her efforts there to have billing templates made, such that in 2012, clinicians were finally documenting in a billable way to reflect the services and time actually taken to treat a patient. Work RVUs jumped immediately from below 100 to around 200 within the year, she said.

Yet case volumes haven’t increased, she noted. “It’s the way we bill.”

White’s colleagues weren’t immediately on board with the evaluation and management (E&M) billing templates at first, she said — until she shared with her co-workers that she had made her salary back through these payments.

“Give me the templates. We’re doing this today. I’m starting this today,” her department chief finally said.

On top of these templates, another factor in improving E&M payments, according to White, is that physicians understand the billing process and the importance of appropriate attestations.

IR Registry Participation

Centers that have joined the Merit-based Incentive Payment System (MIPS) may have reporting requirements fulfilled when they participate in the Interventional Radiology Registry from the American College of Radiology (ACR) and SIR.

For interventional radiologists, it’s also an opportunity to get data demonstrating their value to the healthcare system, Jeremy Collins, MD, of Northwestern Medicine in Chicago, told the SIR 2018 audience. Like White, Collins suggested a system of standardized templates, only this time for structured reporting.

This facilitates a more streamlined data-extraction process for not just MIPS, but for any quality-improvement program, he said, noting that SIR offers free standardized report templates online.

There are just initial costs to set up the the TRIAD site server (ACR’s image and information exchange) and then a low annual fee to ACR, Collins said. “The barriers to entry are fairly low.”

1969-12-31T19:00:00-0500

last updated

Tagged with:

About author

Related Articles