ACR seeks GAO self-referral review

The American College of Radiology (ACR) has asked three members of the U.S. House of Representatives to have the Government Accountability Office (GAO) study the effects of physician self-referral of advanced medical imaging and radiation therapy treatments on Medicare spending.

The Reston, VA-based organization made its request to Energy and Commerce committee chair Rep. Henry Waxman (D-CA), Ways and Means committee chair Rep. Sandy Levin (D-MI), and Ways and Means health subcommittee chair Rep. Pete Stark (D-CA).

According to the ACR, previous GAO reports have shown that when physicians refer patients to imaging facilities in which they have a financial interest, utilization is significantly increased. The ACR advocates that government regulation address financially driven self-referral, which may not be rectified by quality measures.

"Congress and the regulatory agencies must do so by measures other than across the board reimbursement cuts, which only encourage more self-referral and restrict patient access to quality care by driving those who do not self-refer out of practice or forcing them to limit the number of Medicare patients they receive," the ACR stated.

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