The practice of neuroimaging within a neurology office setting

The article by Dr. Fritz1 describes how large groups of neurologists can incorporate MRI neuroimaging into their practice. In addition, for smaller groups of neurologists, alternative choices exist that can markedly reduce equipment cost and result in a break-even point for as little as 15 scans per week. The availability of lower-cost scanners to small groups, with high-quality interpretation available on-site or digitally outsourced to qualified physicians, allows better patient access, reduced cost of scanning, and improved continuity of care, especially for patients residing in rural areas and urban clusters (nearly 30% of the US population).

In-office imaging is critical for streamlined integrated outpatient care, and markedly reduces the cost of care. The In Office Ancillary Services Exception to the Stark Law (IOASE) is critical to insuring patient access to appropriate medical care. It is supported by 23 professional organizations representing over 300,000 physicians, not only neurologists but also orthopedists, neurosurgeons, urologists, and more, who signed a letter to Congress supporting the IOASE. All physicians should communicate with their congressional representatives concerning the critical importance of retaining the IOASE for the preservation of streamlined lower cost integrated care in the outpatient setting.

Disclosures:

The author reports no disclosures.