Utilization Management of Cardiovascular ImagingPre-Certification and Appropriateness
Robert C. Hendel, MD, FACC*,1
Cardiology, Midwest Heart Specialists, Fox River Grove, Illinois.
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Figure 1 MedPAC Evaluation of Growth in Physician Services From 1999 to 2000
The average growth of physician services during this period was 22%. Adapted from MedPAC Analysis of Medicare Claims Data, March 17, 2005, Executive Director, Medicare Payment Advisory Commission, Mark Miller.
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Figure 2 MedPAC Data for Annual Growth From 2000 to 2004 and from 2004 to 2005
The rate of growth for imaging appears to be leveling off compared with all physician services. A prominent decline in growth of nuclear medicine procedures is noted. Adapted from reference 4. CT = computed tomography; E & M = evaluation and management.
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Figure 3 Geographic Variations in the Rates of Stress Test Imaging Procedure
Reprinted with permission from Wennberg et al. (6), The Dartmouth Atlas of Cardiovascular Health Care. Copyright 1999 The Trustees of Dartmouth College.
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