Department of Radiology, Baylor College of Medicine, Houston, Texas.
Medical Director for the Revenue Cycle Operations, Director of MRI Quality and Safety, Codirector of Radiology Elective Clerkship for the Department of Radiology and Imaging Sciences, Department of Radiology, Emory University School of Medicine, Atlanta, Georgia; American Society of Neuroradiology CPT (Current Procedure Terminology) Advisor, Chair of the ASNR Economics Committee and Treasurer of the Georgia Radiological Society.
J Am Coll Radiol. 2023 Oct;20(10):957-961. doi: 10.1016/j.jacr.2023.07.018. Epub 2023 Aug 19.
One of the biggest hurdles to widespread adoption of new procedures and technology such as artificial intelligence (AI) algorithms is payment and coverage policy. Noninvasive assessment of coronary fractional flow reserve is one AI imaging algorithm that will successfully achieve reimbursement through multiple pathways of CMS payment mechanisms in 2024. CMS is the largest provider of health care in the United States. Understanding how this AI algorithm is paid through the different fee schedules will help to understand the challenges CMS has in paying for new services and innovation in the United States.
其中一个阻碍新程序和技术(如人工智能 (AI) 算法)广泛采用的最大障碍是支付和覆盖政策。非侵入性冠状动脉血流储备分数评估是一种人工智能成像算法,该算法将通过 CMS 支付机制的多种途径于 2024 年成功获得报销。CMS 是美国最大的医疗保健提供商。了解 CMS 通过不同的计费时间表如何支付这种 AI 算法将有助于了解 CMS 在美国为新服务和创新支付方面所面临的挑战。