Impact of the Professional Component MPPR Policy on Interdivisional Finances in an Academic Radiology Department |
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| Institution: | 1. Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, Bethesda, Maryland;2. Clinical Pharmacokinetics Research Laboratory, Clinical Center, National Institutes of Health, Bethesda, Maryland;3. Translational Neuroradiology Unit, National Institutes of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland;1. Department of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts;1. Division of Pediatric Radiology, Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee;2. Department of Pediatrics, Vanderbilt University School of Medicine, Monroe Carrell Jr. Children''s Hospital at Vanderbilt, Nashville, Tennessee;1. Center for Research on Utilization of Imaging Services (CRUISE), Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania;2. HealthHelp, Inc, Houston, Texas;1. Fort Wayne Radiology, Fort Wayne, Indiana;2. Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan;1. Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina;2. Rush University Medical Center, Chicago, Illinois;3. Georgetown University Hospital, Washington, District of Columbia, American College of Surgeons;4. Sidney Kimmel Cancer Center at Johns Hopkins University, Baltimore, Maryland, American Society of Clinical Oncology;5. Interventional Endoscopy and Pancreatic Diseases, New Haven, Connecticut, American Gastroenterological Association;6. University of Illinois Hospital, Chicago, Illinois;7. Massachusetts General Hospital, Boston, Massachusetts;8. University of Colorado, Anschutz Medical Campus, Aurora, Colorado;9. Oregon Health and Science University, Portland, Oregon;10. Riley Hospital for Children, Indianapolis, Indiana;11. University of Wisconsin, Madison, Wisconsin;12. Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois;13. University of Illinois Hospital and Health Science System, Chicago, Illinois;14. Froedtert & the Medical College of Wisconsin, Milwaukee, Wisconsin |
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| Abstract: | PurposeThe professional component (PC) Multiple Procedure Payment Reduction (MPPR) policy reduces reimbursement for two or more imaging services rendered by the same group practice for a single patient in a single session. The purpose of this study was to analyze the impact of the PC MPPR on interdivisional finances in an academic radiology department.MethodsA retrospective analysis of Medicare collections from imaging services rendered by a single academic radiology department in a tertiary care medical center for calendar year 2014 was performed. The impact of the PC MPPR on each division was calculated as the fraction of the total departmental PC MPPR, and as the proportion of the divisional revenue.ResultsThe total decrease in Medicare collections as a result of the PC MPPR was 5.35%. The impact of the PC MPPR on each division as a fraction of the total departmental PC MPPR was: abdominal division (16.63%); thoracic division (23.56%); breast division (0.03%); musculoskeletal division (11.92%); neuroradiology division (34.40%); and noninvasive cardiovascular division (13.46%). The impact of the PC MPPR on each division as a fraction of the divisional revenue was: abdominal (2.82%); thoracic (11.83%); breast (0.66%); musculoskeletal (6.01%); neuroradiology (5.31%); and noninvasive cardiovascular (5.85%).ConclusionsThe PC MPPR differentially affects divisions within an academic radiology department. The neuroradiology and thoracic divisions of our department were the most adversely affected, owing to the high frequency of combined examinations. We speculate that this impact has implications for divisional self-sufficiency, interdivisional relationships, and resident decision making regarding subspecialty training. |
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| Keywords: | Multiple procedure payment reduction MPPR interdivisional finances academic radiology department |
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