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AJR Am J Roentgenol. 2011 Apr;196(4):848-52. doi: 10.2214/AJR.10.5823.

The effect of self-referral on utilization of advanced diagnostic imaging.

Author information

  • 1Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Main 1090, 132 S 10th St, Philadelphia, PA 19107, USA. david.levin@jeffersonhospital.org

Abstract

OBJECTIVE:

This article reviews the evidence on the relationship between recent increases in utilization of diagnostic imaging and self-referral. The evidence shows that self-referral invariably leads to higher utilization and the attendant higher costs.

CONCLUSION:

Because most physicians do not own advanced imaging equipment, their own best interests are being thwarted by the practice of self-referral. Congress and the Centers for Medicare and Medicaid Services should restrict the in-office ancillary services exception to the Stark laws as it applies to advanced imaging.

PMID:
21427334
[PubMed - indexed for MEDLINE]
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