- 作者：David Chiao ; MD ; MPH ; dsc5z@virginia.edu" class="auth_mail" title="E-mail the corresponding author ; Sarah Monceaux ; BA ; Arun Krishnaraj ; MD ; Michael Hanley ; MD
- 关键词：Multiple procedure payment reduction ; MPPR ; interdivisional finances ; academic radiology department
- 刊名：Journal of the American College of Radiology
- 出版年：2016
- 出版时间：March 2016
- 年：2016
- 卷：13
- 期：3
- 页码：274-278
- 全文大小：355 K
Methods
A retrospective analysis of Medicare collections from imaging services rendered by a single academic radiology department in a tertiary care medical center for calendar year 2014 was performed. The impact of the PC MPPR on each division was calculated as the fraction of the total departmental PC MPPR, and as the proportion of the divisional revenue.
Results
The total decrease in Medicare collections as a result of the PC MPPR was 5.35%. The impact of the PC MPPR on each division as a fraction of the total departmental PC MPPR was: abdominal division (16.63%); thoracic division (23.56%); breast division (0.03%); musculoskeletal division (11.92%); neuroradiology division (34.40%); and noninvasive cardiovascular division (13.46%). The impact of the PC MPPR on each division as a fraction of the divisional revenue was: abdominal (2.82%); thoracic (11.83%); breast (0.66%); musculoskeletal (6.01%); neuroradiology (5.31%); and noninvasive cardiovascular (5.85%).
Conclusions
The PC MPPR differentially affects divisions within an academic radiology department. The neuroradiology and thoracic divisions of our department were the most adversely affected, owing to the high frequency of combined examinations. We speculate that this impact has implications for divisional self-sufficiency, interdivisional relationships, and resident decision making regarding subspecialty training.