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Insurance Companies/ACR Accrediation

Like many of you I don't have a lot of time to review radiology and health care websites for updates. However, I do try and log onto the American College of Radiology (ACR) website monthly to receive updates on accreditation and special announcements about topics that impact radiology. Last month an announcement was posted regarding insurance companies requiring ACR accreditation to authorize many high end exams including MRI, CT and PET. Children's Healthcare of Atlanta radiology is fortunate that we have received ACR accreditation for MRI, CT, US and Nuc Med at our campuses, and we are in the process of receiving accreditation for our new outpatient imaging facility. However, due to this announcement, we have moved up the accreditation process for our new PET/CT scanner installed in March. I strongly recommend that all facilities earn ACR accreditation due to the push by insurance companies to only cover services from accredited sites.

Comments
Do you know how soon the insurance companies will be requiring certification? We have kicked the idea around here, but no one seems in favor of it.
# Posted By Karen | 4/15/08 11:59 AM
What is required to receive ACR accreditation for MRI and CT? Insurance companies are again exerting their influence over the health care of their insured. If the hospital where a patient regularly receives health care is not accredited, they will be forced to seek care from an alternate health care facility. Once again, the patient is unable to choose their health care provider. Too many health care decisions are determined by your health care insurance provider.
# Posted By Judy | 4/17/08 8:52 PM
I don't believe that it is ethical for insurance companies to be dictating how our health care system is managed. Have tried the ACR and it was a huge waste of my time and the hospital's money. And the cost does not end once you are accreditied. There are annual fees and re-accreditation every 3(?) years or so.
# Posted By jeff | 5/8/08 6:33 AM
Hey, folks, join the wonderful world of mammography! We have been living the world of accreditation for 13 1/2 years. It adds to the cost of heatlhcare and the paperwork is overwhelming....

Wanda Carey, BS RT R M
# Posted By Wanda Carey | 5/8/08 7:49 AM
I am in no way a proponent of insurance companies, but I must agree with them in ensuring accreditation of imaging facilities. Yes, remember mammography, and why the MQSA came about? It was because of the lack of quality care thrown at people; the substandard films; the misdiagnoses; the false positives/false negatives; the misdiagnoses… and the list goes on. Some one had to step in and stop the madness! And look at it now. I am not saying things are perfect, there is still room for improvement, but we are in a much better shape than before MQSA, even with the expense of getting there. When a facility is accredited, it means that its feet are held to the fire to uphold the quality standards as mandated by the FDA and the ACR. It ensures that patients (which we all become at some point or another) are receiving the best care possible, under those standards. Where radiation protection is concerned, it forces us to utilize the ALARA principle in order to minimize radiation dose for each radiologic exam. Accreditation also enforces accountability and responsibility. Sure it adds to the cost of healthcare, and the paperwork is mind boggling, but isn’t it the most wonderful feeling when you know that you have done all your very best in the name of patient care? This is just a small price to pay to ensure patient satisfaction and ultimately, patient retention. Isn’t it a wonderful feeling when you read that glowing letter from a patient that cannot say enough about how wonderful the technologist was, and how caring and professional the facility staff was, and how quickly the report was generated, or follow-up care was given, etc., etc.

These days, lay people are more educated about their healthcare than in the past. They are told to seek out accredited facilities to have their exams done, and they are doing so.

Cheryl Duncan, M.A.S. (RT) (R) (M)
# Posted By C Duncan | 5/8/08 9:09 AM
It makes me feel good to be accredited with the ACR. I now that with them, I can stay on top of the game. I'm glad to see that JCAHO is suggesting to follow their guidelines. Insurance companies should request patients to be seen at a safe and guidelined facility. Why not, they are paying for it.

Darlene Patterson R.T. (R)(MR)(B.S.R.S)
# Posted By DARLENE PATTERSON | 5/8/08 11:58 AM
I agree that accreditation is necessary and do not agree that it is a waste of time. i wish my facilty was interested in doing accreditation. MQSA was done for a reason, only wish that it had been done for all imaging and radiation therapy. do all of you know about the CARE bill? Do all of you realize that all states DO NOT HAVE minimum standards for imaging operators? The state where Shane works is Georgia, they do not have minimum standards required. And yes there are hospitals, even, where RTs are not hired to do our jobs. It is not required. Michigan, Idaho, Oklahoma, Alabama, and others make up 9 states and the District of Colombia that have nothing. even for Radiation therapy. You can add Ultrasound and MRI to the list for minimum standards as well. No state regulates them since there is no ionizing radiation in those modalities. So all technologists need to get on board with this, we have licensure for a reason and it needs to be available to all patients in all of the states.

Lorenza Clausen, RT
CSRT Director at Large
Legislative Chair
# Posted By lorenza clausen, RT | 5/24/08 1:29 PM
I do agree that every health care facility should have minimum standards that they comply with. The ACR standards as challenging and as costly they might be, are for the better of the patients. As much as I dislike the way insurance companies try to deny payments, this is one thing I have to agree with them on.
# Posted By Iva | 5/29/08 7:42 PM
It would be nice that beside equipment standards the insurance companies start demanding that the employees meet certification standards as well, so the current RT’s that are doing CT, MRI, Mamo, NM and other modalities and have no registry will either take the registry or find something else to do. It is about time that the bar is raised on that as well.
# Posted By Ina | 5/31/08 6:05 PM
The insurance companies would tend to follow the Medicare Medicaid lead if that were done. The CARE bill will take care of requiring competent technologists to be performing all imaging exams and radiation therapy. if not, then the facility will not be reimbursed by Medicare Medicaid. Not likely to happen since a majority of what we do falls under that. Insurance companies will follow, many already require ACR accreditation, so this would just make that happen all the more sooner.
# Posted By lorenza clausen, RT | 5/31/08 9:42 PM
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