G White1*, J Boone2*, L Fairobent3*, (1) Colorado Associates in Medical Phys, Colorado Springs, CO, (2) UC Davis Medical Center, Sacramento, CA, (3) AAPM, College Park, MDTU-B-Salon AB-1 Tuesday 10:00:00 AM - 12:00:00 PM Room: Salon AB
Medical Reimbursement Economics 201: Foundations, This Year’s Changes and the Hazy Crystal Ball Look Forward
Gerald A. White, M.S.
The year 2014 will bring a number of changes in the reimbursement environment for both Radiation Oncology and Imaging services. This talk will review the underlying structure of the Medicare based systems for both hospital and free standing facilities and the influence of the American Medical Association on the determination of relative values for services. Specific changes for CPT codes in 2014 will be presented and explained, with guidance as to proper use. The 2014 reimbursement levels for new and revised codes will be compared to previous valuations. Lastly, future changes in CPT codes and reimbursement levels will be discussed. There will be ample time for questions and discussions on the application details of the CPT codes related to Medical Physics.
California CT Dose Regulations; Implementation Strategies and Initial Experience
On September 30, 2010 by Governor Arnold Schwarzenegger signed into law California Senate Bill 1237, paving the way for implementation of the first state law in the U.S. aimed at protecting patients from excessive radiation exposure received during computed tomography (CT) scans and radiation therapy procedures. California Senate Bill 1237 imposes strict new procedures and reporting requirements to protect patients from medical radiation overdoses and was effective July 1, 2012. The bill also provided an accreditation mandate for CT scanners effective January 1, 2013.
The bill requires that radiation dose be recorded on the scanned image and in a patient's health records, and that radiation overdoses be reported to patients, treating physicians, and the California Department of Public Health (DPH). It requires the same level of monitoring for therapeutic radiation used to treat cancer.
The UC-DOSE project (University of California Dose Optimization and Standardization Endeavor) was funded by the University of California Office of the President (UCOP) to standardize and optimize computed tomography (CT) protocols across the University of California Medical Centers, and to develop a consistent solution for responding to California Senate Bill 1237. This talk will discuss the requirements of S.B. 1237 and the University of California’s experience in implementing the requirements. Details of the UC-DOSE project can be accessed at: http://library.constantcontact.com/download/get/file/1109244434861-12/SB1237_Guidance_UC_DOSE.pdf.
Be careful what you say, big brother is listening
NRC is moving forward on publication of changes to 10 CFR Part 35. The proposed rule addresses three ongoing rulemaking projects and several other related topics. First, this rule proposes amendments to the reporting and notification requirements for a medical event (ME) for permanent implant brachytherapy. Second, the rule proposes changes: (1) to the training and experience (T&E) requirements for authorized users (AUs), medical physicists, Radiation Safety Officers (RSOs), and nuclear pharmacists; (2) to the requirements for measuring molybdenum contamination and reporting of failed technetium and rubidium generators, and (3) to allow Associate Radiation Safety Officers (ARSOs) to be named on a medical license. Third, the rule proposes changes to address a request filed in a petition for rulemaking (PRM) (PRM-35-20) to exempt certain board-certified individuals from certain T&E requirements (i.e., “grandfather” these individuals) so that they may be identified on a license or permit for materials and uses that they performed on or before October 24, 2005, the expiration date of the former Subpart J of Part 35 which contained the prior T&E requirements. After discussing the proposed changes, there will be ample time for questions and discussions on the impact of these changes on the practice of medicine.
1. Participants will become familiar with key regulation and guidance changes for the use of radioactive materials in medicine that are under consideration.
2. Participants will provide feedback on proposed changes to presenters.
3. Participants will be prepared to facilitate engagement of their facility and colleagues in the ongoing dialogue about changes.