Petrey W Banks, Allen Bibb, Thorwarth William T
Department of Radiology, University of Virginia, Charlottesville, Virginia 22908, USA.
J Am Coll Radiol. 2009 Sep;6(9):643-8. doi: 10.1016/j.jacr.2009.04.011.
As radiologists-in-training, residents and fellows have little time to devote to understanding the complex and often confusing world of reimbursement and radiology economics. At best, housestaff are afforded only a modicum of exposure to the economics of medicine. Although most training programs try to provide some information on the subject, between learning radiology, taking call, and juggling life outside the hospital, the majority of residents and fellows have little time or energy to learn about the economics of radiology. Furthermore, information on medical economics and radiology has only occasionally been directed specifically to housestaff or widely distributed to residents across the country. This is unfortunate because the reimbursement and economic arena will significantly affect daily practice, relationships with other specialties, and compensation. In this article, the authors briefly describe the current reimbursement and economic climate: how we got here and where we may be headed, with specific attention to coding for radiologic services. In addition, and perhaps more important, the authors highlight aspects of residents' or fellows' daily practice that may have the potential to affect reimbursement in their years of practice ahead, such as proper dictation and coding techniques, the importance of adhering to new reporting guidelines, and the need for increased radiologist involvement in professional and community activities. The authors also emphasize measures that can be taken, specifically by housestaff, to promote and preserve the image of our specialty, which ultimately is intertwined with the reimbursement and economics of our field.
作为正在接受培训的放射科医生，住院医师和研究员几乎没有时间去深入了解报销和放射学经济学这个复杂且常常令人困惑的领域。充其量，住院医生对医学经济学仅有少量的接触。尽管大多数培训项目试图提供一些关于该主题的信息，但在学习放射学、值班以及应对医院外的生活之间，大多数住院医师和研究员几乎没有时间或精力去了解放射学经济学。此外，关于医学经济学和放射学的信息只是偶尔专门针对住院医生，或者在全国范围内广泛分发给住院医师。这很不幸，因为报销和经济领域将对日常实践、与其他专科的关系以及薪酬产生重大影响。在本文中，作者简要描述了当前的报销和经济形势经济形势：我们如何走到这一步以及未来可能的走向，特别关注放射学服务的编码。此外，或许更重要的是，作者强调了住院医师或研究员日常实践中可能在未来多年影响报销的方面，例如正确的口述和编码技巧、遵守新报告指南的重要性，以及放射科医生更多参与专业和社区活动的必要性。作者还强调了可以采取的措施，特别是住院医生可以采取的措施，以提升和维护我们专业的形象，而这最终与我们领域的报销和经济状况紧密相连。
