The neurologist as neuroimager

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Abstract
At one time, approximately 18% of neurologists interpreted CT, MR, and ultrasound in outpatient free-standing imaging centers as a reimbursable service to their patients. [1] The Stark Anti-Self Referral legislation confined this activity. [2] Recently, some insurers have attempted to exclude all physicians except radiologists from interpreting MRI studies by instituting restrictive reimbursement policies. A credentialing process to determine competence in neuroimaging has been developed by both the American Board of Medical Specialties (ABMS) and the American Society of Neuroimaging (ASN), but how thirdparty payors will regard these examinations with respect to reimbursement is unclear. [3] Neurologists should be concerned that universally accepted certification in neuroimaging and neurosonology be available to those who have active interest and skill in these procedures.

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