Financial and medicolegal implications of focused/fast abdominopelvic MRI exams
Purpose Abbreviated MRI offers significant advantages in terms of MRI throughput, patient tolerance and expediency, and is being utilized for a variety of abdominopelvic imaging applications. However questions abound with respect to financial and medicolegal treatment of these relatively new protoco...
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| Veröffentlicht in: | Abdominal imaging 2022, Vol.47 (1), p.471-474 |
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| container_title | Abdominal imaging |
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| creator | Mezrich, Jonathan L. Weinreb, Jeffrey C. |
| description | Purpose
Abbreviated MRI offers significant advantages in terms of MRI throughput, patient tolerance and expediency, and is being utilized for a variety of abdominopelvic imaging applications. However questions abound with respect to financial and medicolegal treatment of these relatively new protocols.
Methods
A review of the relevant literature was performed.
Results
There is no Current Procedural Terminology code for a “limited” MRI study, but it may not be appropriate to bill an abbreviated study the same as a more comprehensive study. With respect to medicolegal concerns, the risk of liability when missing or misinterpreting medically significant findings due to use of an abbreviated scan will turn on whether abbreviated MRI has become the standard of care.
Conclusion
In light of these ambiguities, it would behoove abdominopelvic imagers to advocate for their professional and subspecialty organizations to issue practice parameters/guidelines with respect to the utilization of abbreviated MRI protocols, and for the subspecialty to bill these abbreviated scans at objectively reasonable rates. |
| doi_str_mv | 10.1007/s00261-021-03328-w |
| format | Article |
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Abbreviated MRI offers significant advantages in terms of MRI throughput, patient tolerance and expediency, and is being utilized for a variety of abdominopelvic imaging applications. However questions abound with respect to financial and medicolegal treatment of these relatively new protocols.
Methods
A review of the relevant literature was performed.
Results
There is no Current Procedural Terminology code for a “limited” MRI study, but it may not be appropriate to bill an abbreviated study the same as a more comprehensive study. With respect to medicolegal concerns, the risk of liability when missing or misinterpreting medically significant findings due to use of an abbreviated scan will turn on whether abbreviated MRI has become the standard of care.
Conclusion
In light of these ambiguities, it would behoove abdominopelvic imagers to advocate for their professional and subspecialty organizations to issue practice parameters/guidelines with respect to the utilization of abbreviated MRI protocols, and for the subspecialty to bill these abbreviated scans at objectively reasonable rates.</description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-021-03328-w</identifier><identifier>PMID: 34713311</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Cost benefit analysis ; Gastroenterology ; Health care expenditures ; Hepatology ; Humans ; Imaging ; Legal medicine ; Liability ; Literature reviews ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medical screening ; Medicine ; Medicine & Public Health ; Perspective ; Radiology ; Standard of care ; Terminology</subject><ispartof>Abdominal imaging, 2022, Vol.47 (1), p.471-474</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-a65ca2168ea48cc5b20b3b963b7418849b0d614026376b458f60c1b85f5da6623</citedby><cites>FETCH-LOGICAL-c375t-a65ca2168ea48cc5b20b3b963b7418849b0d614026376b458f60c1b85f5da6623</cites><orcidid>0000-0002-0210-188X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00261-021-03328-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-021-03328-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34713311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mezrich, Jonathan L.</creatorcontrib><creatorcontrib>Weinreb, Jeffrey C.</creatorcontrib><title>Financial and medicolegal implications of focused/fast abdominopelvic MRI exams</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Purpose
Abbreviated MRI offers significant advantages in terms of MRI throughput, patient tolerance and expediency, and is being utilized for a variety of abdominopelvic imaging applications. However questions abound with respect to financial and medicolegal treatment of these relatively new protocols.
Methods
A review of the relevant literature was performed.
Results
There is no Current Procedural Terminology code for a “limited” MRI study, but it may not be appropriate to bill an abbreviated study the same as a more comprehensive study. With respect to medicolegal concerns, the risk of liability when missing or misinterpreting medically significant findings due to use of an abbreviated scan will turn on whether abbreviated MRI has become the standard of care.
Conclusion
In light of these ambiguities, it would behoove abdominopelvic imagers to advocate for their professional and subspecialty organizations to issue practice parameters/guidelines with respect to the utilization of abbreviated MRI protocols, and for the subspecialty to bill these abbreviated scans at objectively reasonable rates.</description><subject>Cost benefit analysis</subject><subject>Gastroenterology</subject><subject>Health care expenditures</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Legal medicine</subject><subject>Liability</subject><subject>Literature reviews</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Perspective</subject><subject>Radiology</subject><subject>Standard of care</subject><subject>Terminology</subject><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kEFLwzAUx4Mobsx9AQ9S8OKl7iVp0uwow-lgMhAFbyFJ05HRNrNZnX57o5sTPHgIScjv_fPeD6FzDNcYIB8FAMJxCiQuSolIt0eoTyjnKQATx4dz9tJDwxBWAIA5w5iwU9SjWY4pxbiPFlPXqMY4VSWqKZLaFs74yi7j3dXryhm1cb4JiS-T0psu2GJUqrBJlC587Rq_ttWbM8nD4yyx76oOZ-ikVFWww_0-QM_T26fJfTpf3M0mN_PU0JxtUsWZUQRzYVUmjGGagKZ6zKnOMyxENtZQcJzFEWnOdcZEycFgLVjJCsU5oQN0tctdt_61s2EjaxeMrSrVWN8FSdgYQOTAeEQv_6Ar37VN7E4STnBGKMlZpMiOMq0PobWlXLeuVu2HxCC_jMudcRmNy2_jchuLLvbRnY7qDiU_fiNAd0CIT83Str9__xP7CVeBikc</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Mezrich, Jonathan L.</creator><creator>Weinreb, Jeffrey C.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0210-188X</orcidid></search><sort><creationdate>2022</creationdate><title>Financial and medicolegal implications of focused/fast abdominopelvic MRI exams</title><author>Mezrich, Jonathan L. ; Weinreb, Jeffrey C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a65ca2168ea48cc5b20b3b963b7418849b0d614026376b458f60c1b85f5da6623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cost benefit analysis</topic><topic>Gastroenterology</topic><topic>Health care expenditures</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Legal medicine</topic><topic>Liability</topic><topic>Literature reviews</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Perspective</topic><topic>Radiology</topic><topic>Standard of care</topic><topic>Terminology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mezrich, Jonathan L.</creatorcontrib><creatorcontrib>Weinreb, Jeffrey C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mezrich, Jonathan L.</au><au>Weinreb, Jeffrey C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Financial and medicolegal implications of focused/fast abdominopelvic MRI exams</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2022</date><risdate>2022</risdate><volume>47</volume><issue>1</issue><spage>471</spage><epage>474</epage><pages>471-474</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>Purpose
Abbreviated MRI offers significant advantages in terms of MRI throughput, patient tolerance and expediency, and is being utilized for a variety of abdominopelvic imaging applications. However questions abound with respect to financial and medicolegal treatment of these relatively new protocols.
Methods
A review of the relevant literature was performed.
Results
There is no Current Procedural Terminology code for a “limited” MRI study, but it may not be appropriate to bill an abbreviated study the same as a more comprehensive study. With respect to medicolegal concerns, the risk of liability when missing or misinterpreting medically significant findings due to use of an abbreviated scan will turn on whether abbreviated MRI has become the standard of care.
Conclusion
In light of these ambiguities, it would behoove abdominopelvic imagers to advocate for their professional and subspecialty organizations to issue practice parameters/guidelines with respect to the utilization of abbreviated MRI protocols, and for the subspecialty to bill these abbreviated scans at objectively reasonable rates.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34713311</pmid><doi>10.1007/s00261-021-03328-w</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-0210-188X</orcidid></addata></record> |
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| ispartof | Abdominal imaging, 2022, Vol.47 (1), p.471-474 |
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| subjects | Cost benefit analysis Gastroenterology Health care expenditures Hepatology Humans Imaging Legal medicine Liability Literature reviews Magnetic resonance imaging Magnetic Resonance Imaging - methods Medical screening Medicine Medicine & Public Health Perspective Radiology Standard of care Terminology |
| title | Financial and medicolegal implications of focused/fast abdominopelvic MRI exams |
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