What is it about?
There is excessive utilization of expensive Radiology tests - MRI, CT, CT-PET and cardiac nuclear medicine. We used a program based on appropriateness criteria and interactions with nurses and physicians to guide ordering clinicians to order these tests more appropriately
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Why is it important?
Decreasing inappropriate utilization resulted in lower radiation dose to patients and a significant cost savings to the medical system.
Perspectives
This is one of the only papers demonstrating that a radiology management program decreased utilization and the only one to our knowledge that shows an educational model that doesn't use denials met with success.
DR Robert J Rapoport
St Peters Hospital
Read the Original
This page is a summary of: A Large State Medicaid Outpatient Advanced Imaging Utilization Management Program, Medical Care Research and Review, September 2015, SAGE Publications,
DOI: 10.1177/1077558715607749.
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