PMID- 37891082
OWN - NLM
STAT- MEDLINE
DCOM- 20240305
LR  - 20240305
IS  - 1535-6302 (Electronic)
IS  - 0363-0188 (Linking)
VI  - 53
IP  - 2
DP  - 2024 Mar-Apr
TI  - Hospital payment systems and physician reimbursement: A primer for radiology 
      residents.
PG  - 171-174
LID - S0363-0188(23)00172-X [pii]
LID - 10.1067/j.cpradiol.2023.10.019 [doi]
AB  - Prior to practicing independently, radiology trainees spend considerable time and 
      energy to learn and understand the practice of radiology. However, upon 
      graduation trainees are often deficient in understanding the business of 
      hospitals and the structure of reimbursement. Specifically, the workflow of 
      relative value units (RVUs) and its impact on practice of radiology after 
      completing training. In this manuscript, we provide a resource for trainees to 
      understand the workflow of physician reimbursement. This article includes 
      information on the mixed model healthcare structure of the United States and two 
      government programs that influence reimbursement: Diagnosis-Related Groups (DRG) 
      and Hospital Value-Based Purchasing (HVBP) programs. Furthermore, we explain the 
      method by which the Center of Medicare and Medicate Service's (CMS) reimburses 
      physicians via the Medicare Physician Fee Schedule (MPFS) using the Resource 
      Based Relative Value Scale. Understanding the structure of these payments along 
      with the challenges and current landscape of radiology reimbursement will help 
      new radiologists prior to seeking employment where reimbursements are integral to 
      contract expectations.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Doddi, Sishir
AU  - Doddi S
AD  - University of Toledo College of Medicine, 3000 Arlington Ave Toledo, Toledo, OH 
      43614, USA. Electronic address: sishir.doddi@utoledo.edu.
FAU - Tirumani, Sree Harsha
AU  - Tirumani SH
AD  - Department of Radiology, University Hospitals Cleveland Medical Center, Case 
      Western Reserve University School of Medicine, Cleveland, OH, USA.
LA  - eng
PT  - Journal Article
DEP - 20231021
PL  - United States
TA  - Curr Probl Diagn Radiol
JT  - Current problems in diagnostic radiology
JID - 7607123
SB  - IM
MH  - Aged
MH  - Humans
MH  - United States
MH  - Medicare
MH  - *Radiology
MH  - *Physicians
MH  - Fee Schedules
MH  - Hospitals
OTO - NOTNLM
OT  - Medicare
OT  - RVU
OT  - Radiology
OT  - Reimbursement
OT  - Trainee
EDAT- 2023/10/28 11:42
MHDA- 2024/03/05 06:46
CRDT- 2023/10/27 22:57
PHST- 2023/10/04 00:00 [received]
PHST- 2023/10/18 00:00 [accepted]
PHST- 2024/03/05 06:46 [medline]
PHST- 2023/10/28 11:42 [pubmed]
PHST- 2023/10/27 22:57 [entrez]
AID - S0363-0188(23)00172-X [pii]
AID - 10.1067/j.cpradiol.2023.10.019 [doi]
PST - ppublish
SO  - Curr Probl Diagn Radiol. 2024 Mar-Apr;53(2):171-174. doi: 
      10.1067/j.cpradiol.2023.10.019. Epub 2023 Oct 21.