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Board Certified Radiologist Reading Services
Timely Radiologist Report
as Easy as A, B, C. A: One click film transfers to radiologist. B: Timely electronic report. (See a few sample reports below) C: Radiologist retains backup records. Reimbursement & Fee MEDICARE: You bill Medicare for the Technical Component only, and your Radiologist separately bills Medicare for their Professional Component. OTHER: You bill carrier for both Technical & Professional Components (Globally), and your Radiologist Invoices you for their Professional Component Fee at the Medicare rate. ULTRASOUND REIMBURSEMENTS: Amounts: Most ultrasound procedures will globally reimburse from about $180 to $400+. All is paid to you if you both own or lease the equipment and professionally interpret the result. However, if you want, instead, to rely on a radiologist's interpretation of the film then about 80% of the $180 to $400+ is paid to you as your Technical Component, because you own or leased the equipment scanned with at your office; and the remaining about 20% of the global reimbursement is paid to the radiologist as their Professional Component for their professional reading of the scans; issuance of their Radiology Report to you; and their consultation services. ( Of course, if the images are unquestioned - such as clear presence of a gallstone - you may be confident in not using a radiologist and collecting globally. But if there is any question, you can click send to the radiologist for their professional opinion.) AN EXAMPLE: CPT Code 76942 reimburses $183.94 globally for “ultrasonic guidance for needle placement (e.g. biopsy, aspiration, injection, localization device), imaging supervision and interpretation.” Out of its global reimbursement payment of $183.94, you would receive the Technical Component of $149.68, and, if you want the obvious benefit of a radiologist’s read, report and consultation, then the radiologist (instead of you) would receive the much smaller $34.26 for their services. The radiologist will also maintain a copy of your records for safekeeping at their office. Many physicians like to rely upon a radiologist’s expert opinion to support a diagnosis and the clinician’s further steps. The benefit of a Radiologist Report is obvious. To talk with the Board Certified Radiologist and receive their CV, just telephone The Ultrasound Store at (800) 346-6550 and wait for Customer Service to receive the radiologist’s contact information. You would deal directly with the radiologist.
(This is especially useful if local medical politics inclines private practice physicians to send patients to the hospital for ultrasound, rather than recognizing that really every OBGYN and thousands of family practitioners, surgeons, endocrinologists, neurologists, urologists, nephrologists, podiatrists and other specialists daily perform office ultrasounds for their patient's convenience and faster diagnostic information without compromising imaging accuracy. )
SAMPLES OF 3 OF THE BOARD CERTIFIED RADIOLOGY REPORTS
Anne Glaser, M.D.
Sample Carotid Radiology Report
Patient Name: Date of Birth: 2/25/1954 Examination Date: 4/29/2009 Physician: Indication: Bruit
Examination: Carotid Ultrasound Findings: Real-time examination demonstrates intimal thickening without hemodynamically Both vertebral arteries demonstrate normal antegrade flow. Impression: Essentially negative carotid ultrasound with intimal thickening but no Sample Thyroid Radiology Report
Patient Name: Monroe, Walter DOB: 1/14/1945 Date: 12/1/2007 Physician: Joe Carrington, M.D. Indication: Goiter Examination: Thyroid Ultrasound
Technique: Real-time high-resolution ultrasound evaluation of the thyroid bed was performed.
Findings: Both lobes of the thyroid demonstrate numerous subcentimeter hypoechoic nonvascular nodules which do not distort the overall contour of the gland. There is no dominant mass, nodule, or cyst. The left lobe is larger than the right lobe. The right lobe measures 3.9 x 1.6 x 1.9 cm. The left lobe measures 4.5 x 2.2 x 1.9 cm. No adjacent lymphadenopathy is identified. The isthmus is 4.3 mm in width.
Impression: Multinodular goiter.
Sample Obstetric Radiology Report Patient Name: Date of Birth: 3/22/1987 Date of Service: 3/17/2009 Referring Physician: Indication: Size & Dates Type of Exam: OB Ultrasound Results/Findings: The uterus is morphologically normal with a viable intrauterine pregnancy. The crown rump length is 4.70 cm corresponding to 11 weeks 4 days yielding a due date of 10/2/09. Cardiac activity is present at the rate of 164 BPM. A 2.8 x 1.0 cm hypoechoic area is seen to the right of the sac suggesting a small bleed. No leiomyomatous changes are identified. The right ovary has a normal appearance but the left ovary was never visualized. The right ovary measures 2.7 x 2.1 x 1.4 cm. There are no ovarian masses or complex cysts and there is no free fluid in the pelvis. Impression: Viable intrauterine pregnancy at 11 weeks 4 days.
Sample Obstetric Radiology Report
Patient Name: MRN: 34567 Date of Birth: 9/22/1981 Date of Service: 3/27/2009 Referring Physician: Indication: Anatomy Scan Type of Exam: OB Ultrasound Results/Findings: mm MA BPD 38.5 17 weeks 5 days HC 150.4 18 weeks 1 day AC 124.8 18 weeks 1 day FL 27.1 18 weeks 2 days Value Normal Range CI 70.7 70 to 86 FL/BPD 70.6 not given HC/AC 1.20 1.08 to 1.27 FL/AC 21.75 20 to 24 Clinical: LMP= 11/25/08, MA = 17 weeks 6 days, EDD = 8/29/09 Prior ultrasound: MA = 17 weeks 5 days EDD = 8/30/09 This ultrasound: MA = 18 weeks 1 day EDD = 8/27/09 EFW = 227 g
Comments: Type of gestation: Singleton Fetal position: Variable Placental location: Posterior Placental maturity: Grade 0
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