High-tech imaging technology promises diagnostic possibility, but capitated payment demands diagnostic discretion. As renewed focus on utilization management increases administrative overhead for referring physicians and radiologists, Nuance’s radiology decision support solution aligns orders with clinical guidelines ensuring appropriate reimbursement and care.
As studies have shown, a significant percentage of radiology spending is unwarranted. The appropriate ordering of high-tech diagnostic imaging studies is a critical part of good medicine and efficiently running your department.
Nuance Healthcare’s RadPort™ clinical decision support for high-tech diagnostic imaging ensures each order meets clinical care and reimbursement guidelines.
RadPort: Diagnostic imaging decision support
Since 2004, Massachusetts General Hospital (MGH), a member of Partners Healthcare, has been working to address the issue of unnecessary high-tech imaging. Using a set of ACR Appropriateness Criteria®-based rules, RadPort rates the “appropriateness” of an exam order, offers recommendations for a more appropriate exam if necessary and logs the physician’s final decision. The result: Accuracy, convenience and guidance for the ordering physician while ensuring business efficiency.
SOURCE: Christopher L. Sistrom, Pragya A. Dang, Jeffrey B. Weilburg, Keith J. Dreyer,
Daniel I. Rosenthal, and James H. Thrall. Effect of Computerized Order Entry with
Integrated Decision Support on the Growth of Outpatient Procedure Volumes: Sevenyear
Time Series Analysis. Radiology 2009 251: 147-155; published online before print