In Every Issue

Posted by

By AHRA Staff

March 2010 


Did You Know?

Did you know that volunteering is the best way to make the most of your AHRA membership? To get involved, visit our Web site and fill out a volunteer form.

March AHRA Webinar: Will the 2010 Medicare Reimbursement Cuts and Healthcare Reform Prove More Dramatic Than the DRA?

By Ernie Stewart RT(R), CRA, MBA, MHSA


Presented by: M. Shane Foreman and Jon Geise


The Centers for Medicare and Medicaid Services (CMS) has introduced a significant reduction in reimbursement for imaging services performed outside the hospital setting and paid under the Medicare Physician Fee Schedule.  These changes went into effect on January 1, 2010 and will be phased in over the next four years, presenting a challenge to all non hospital based outpatient imaging centers. 

During this webinar on March 25, M. Shane Foreman and Jon Geise will use their experience and professional expertise in growing outpatient imaging businesses to analyze and discuss the changes in reimbursement, and clarify the CMS equipment utilization factors.  They will also look at a variety of other topics, such as medical malpractice, facility overhead, the healthcare reform debate, and the impact that these changes could have on your imaging center. 

As a participant you will learn to:

  • Understand the key imaging related components of the 2010 Medicare Physician Fee and healthcare reform.
  • Analyze the anticipated impact and timing of both on freestanding imaging providers.
  • Determine the likely winners, losers, and resulting business structures, given the reimbursement cuts.    

This webinar will be presented on Thursday March 25, 2010 from 1:00-2:30 pm EST.  To register, click here.

This webinar is generously sponsored by 3d Health, Inc.

Ernie Stewart RTR, CRA, MBA, MHSA, is a director on the 2009-2010 AHRA Board of Directors, as well as Chair of the 2009-2010 Webinar Design Team.  He is director, radiology/imaging services at Baylor Health Care System in Garland, TX.  He can be reached at



New Members

The staff and members of AHRA warmly welcome the following new members!

Kim Amick, Clinton, SC
Michele Arvin, Scottsdale, AZ
Linda Bagley, St. Louis Park, MN
Peter Calabrese, Clayton, DE
Amber Card, Wake Forest, NC
Debbie Carrico, Campbellsville, KY
Ralph Corbino, West Islip, NY
Calinda Coutu, Atwater, CA
John Ellis, City of Alameda, CA
Steven Fischer, Minneapolis, MN
Pamela Goldner, St. Petersburg, FL
Daniel Kromis, Austin, TX
Thomas Lane, Savannah, GA
Denise Lukasik-Sedmak, Waukesha, WI
Jessica Montgomery, Scottsdale, AZ
Ann Ottum, Greensboro, GA
David Peacock, Plano, TX
Tiffany Peterson, Anchorage, AK
Melody Pinder, Raleigh, NC
Susan Ramierz, San Diego, CA
Kris Terrell, Marshalltown, IA
Rochelle Tracy, Phoenix, AZ
Tammy Tyillian McDill, Louisville, KY
Karen Woods, N. Haverhill, NH

Do you know someone who can benefit from an AHRA membership? Let us know! Send the contact information to our membership department at If your referral joins, you’ll be listed here as well!


Online Institute Featured Webinar


Recognizing that today’s medical imaging leaders need high-quality information that is easily accessible, AHRA designed the Online Institute to provide courses (Quick Credit articles, conference sessions, and webinars) in a wide array of subject areas that are relevant to the profession. These courses are approved for ARRT Category A Continuing Education (CE) credit.  Participants can easily login, select a course, take a test, get the results, and print the CE letter all in the same visit. 

This month’s featured archived webinar from the Online Institute is “Space Planning: Get It Right the First Time!”

Space Planning: Get It Right the First Time!
Kenneth C. Johnson

While the design of space has a tremendous impact on your workflow, staff utilization, room throughput and patient satisfaction, too much time and money are frequently spent creating less than optimum outcomes – and in most cases, you only get one chance to get it right. Therefore, it is critical that you get the design right the first time. In this session, case studies will be used to share tools and techniques that will enable participants to avoid design landmines that plague the design process. This session will be of value for those who are at any stage of planning a new Department or doing any renovation within their existing Department. In addition, the tools and techniques that will be shared during this session are useful for identifying and making process improvements even when no space changes are involved.

To view this and other archived webinars, Quick Credit articles, and conference sessions, and to take the associated CE exams, click here.

Notes From the List Server


The AHRA List Server is an online tool that allows you to network with other imaging professionals, in one common place.  Many AHRA members take advantage of this exclusive member benefit and use the List Server daily to share valuable information with their peers.

Below is a recent discussion:

“Is any one out there including the Ultrasound worksheets as part of the medical record? I am being asked to include our bio-physical profile worksheet as part of the medical record and I disagree, these are sonographer impression and only for the benefit or guidance of the radiologist, they are not be used as an interpretation. What are you doing in your facility?”
–Ed Yoder


–They’re part of the medical record to the extent that we scan them into PACS.  Are you prying the lid off the issue of treating ER patients based on the sonographer’s impression?  I doubt we’re alone here in that swamp.


–We scan the ultrasound worksheets into PACS for the radiologist to be able to review when reviewing the images, but the worksheets are not part of the medical record.


Our worksheets are scanned into PACS for easy access by the radiologists.  However, there is a statement at the bottom of each sheet that says that page is not considered part of the medical record.  We do not scan them into the EMR or put them on charts.


–We scan ours into RIS.  They do not go to the medical record proper.  However, I have wondered could these requested by the law people?


–We do not send ours to HIM . . .


–We scan into PACS but does not go to medical records.  They are careful what they put in there, descriptions and not diagnosis.  At another place we did not scan them, the sonographers had to bring them to the radiologist since the radiologist did not want them to be a part of the permanent record in case they did not agree with it.  Hope this helps.


–They absolutely can be subpoenaed wherever they are in a patient’s record and that includes in PACS.  The language of a subpoena can be written broadly enough to cover any portion of a patient’s record and that’s why you shouldn’t make a copy of a variance or incident report—the risk manager can do what they will with the original.


Our sonographers scan them into PACS and are used only to communicate pertinent info such as measurements to the radiologist.


–We scan into PACS for the radiologist. We do not send them to medical records.


–We scan all documentation, screening sheets, history forms, worksheets into PACS, which is part of the medical record.


–We use a particular software to create the worksheets. It pulls measurements from the ultrasound exam. The worksheets specifically state “PRELIMINARY WORKSHEET.” It is stored in PACS.


–We scan the worksheets into PACS.



Those of you that are scanning your ultrasound worksheets into the PACS and saying that it is not part of the medical record, how are you proving this and how is this information not subpoenaed with the medical record?


–It’s as much a part of the medical record as the x-rays themselves and they can be subpoenaed.  The only way to prevent them being part of the record is to discard them so that there is no copy available.  The safest practice is either to restrict the contents of the ultrasound worksheet to measurements, no sonographer’s impressions.  It’s probably a tempest in a teapot since the radiologist provides the final interpretation, but in real life, places do use the sonographer’s impression as a basis for treating the patient in the ER.


If it is in PACS it is part of the medical record.


For more information about AHRA’s List Server, click here.

Post a Comment

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s