Medical Imaging Advocates Fight Proposals Requiring Advance Authorization

As the congressional super committee considers聽ways to cut聽Medicare spending,聽one issue that has been raised is to cut back on imaging services that some experts say are overused by physicians. But an released Tuesday聽maintains that one tactic that has been suggested — the use of prior authorization for聽imaging services 鈥 doesn鈥檛 save money.

The report, financed by the , also suggests that it may cost more to run such programs than is often recovered. Prior authorization聽requires physicians and other practioners to聽get permission first before performing a service such as聽medical imaging.

鈥淎 prior authorization program would end up costing the government more than it saves and would simply delay patient care and impose administrative burdens and increased costs on physician practices,鈥 coalition executive director Tim Trysla said in a statement.聽 The group says its members include physicians, providers, patient organizations and health technology companies.

Congress has tried before to cut imaging costs, slicing reimbursement rates to doctors and adding for doctors who refer patients to imaging machines that they own.

The debt panel is聽expected to look at variety of ways to reduce federal spending.聽President Barack Obama鈥檚 released last month includes a聽provision that would require prior authorization from Medicare for advanced imaging services, beginning in 2013.聽 In聽June the Medicare Payment Advisory Commission (MedPAC) that some physicians who order a lot of MRIs, CT scans, nuclear medicine studies and other imaging tests to get pre-approval from Medicare.

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