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  • CMS approves payments for Viz.ai software

    Posted by joshua.glaze_811 on September 7, 2020 at 5:45 am

    [link=https://www.auntminnie.com/index.aspx?sec=log&URL=https%3a%2f%2fwww.auntminnie.com%2findex.aspx%3fsec%3dsup%26sub%3dcto%26pag%3ddis%26ItemID%3d130096]https://www.auntminnie.co…ddis%26ItemID%3d130096[/link]
     
    Medicare will pay up to $1,040 per use of the algorithm in patients with suspected strokes.
     
    This seems to be a trend. First CT-FFR, now CT head.  Next lumbar spine MRI?….
     
    I know that this is the wrong forum… but…. How can anyone justify this?  
     
     
     

    bunnie_face_936 replied 3 years, 8 months ago 8 Members · 9 Replies
  • 9 Replies
  • julie.young_645

    Member
    September 7, 2020 at 7:03 am

    [link=https://lukeoakdenrayner.wordpress.com/2020/09/06/the-medical-ai-floodgates-open-at-a-cost-of-1000-per-patient/]https://lukeoakdenrayner.wordpress.com/2020/09/06/the-medical-ai-floodgates-open-at-a-cost-of-1000-per-patient/[/link]

    • Unknown Member

      Deleted User
      September 7, 2020 at 7:20 am

      Looks like there is a annual cap on reimbursement of $25000 per subscription, which makes it look less bad.

      • skysdad

        Member
        September 7, 2020 at 7:53 am

        It’s a lot less alarmist if you actually read the details, or the excellent summary from Dr. Oakden-Rayner linked above.

        • suman

          Member
          September 7, 2020 at 10:39 am

          $25k per year, no wonder our country is going broke.

          • jtpollock

            Member
            September 12, 2020 at 11:30 am

            The move is actually a little worrisome. The ONLY thing precluding the wider implementation of AI is the lack of reimbursement. If that dam breaks, watch out.

            • Robbro524_990

              Member
              September 12, 2020 at 11:50 am

              Well that dam might break, but there’s not much water behind it.

              You don’t have to be a math genius to realize Medicare is going broke, especially with the Boomers aging out of society.

              Gonna be hard to pay for all of this new (and any) medical technology with an aging population and diminished tax base.

              If push comes to shove, there’s always family medicine. 😉

              • jonhanse_770

                Member
                September 12, 2020 at 12:18 pm

                If you read the post in the PDF titled “Whats Wrong with AI” it will give you a different perspective as well. 
                 
                AI is now recognized by CMS as a tool that can be used as part oif the interpretation process so you had better get used to it. Who gets the $$ for AI remains to be seen (it could go either way) but as of now there are no cuts being made to the radiologists payment so stop making a big deal out of nothing. No wait- I hear a chorus of rads all singing one of Queen’s finest songs- “I Want it All!!”
                 
                ([link]https://www.youtube.com/watch?v=7JB8xizXnT0)[/link]
                 
                i wouild worry more about RP scenarios than AI- and for the record I called the RP scenario over a decade ago when so many said no way no how…and called teleradiology nearly two decades ago too…Just saying.,..
                 
                PACSMan
                aka Nostradamous
                 
                P.S I’m feeling old today and your bones are creaking chill with this…
                [link]https://www.youtube.com/watch?v=2cZ_EFAmj08[/link]

                • bunnie_face_936

                  Member
                  September 12, 2020 at 12:47 pm

                  Given max payout is 25K, can this be assumed to be targeted at smaller hospitals? Perhaps this is truly who would benefit most from this software anyways if thrombectomy needs to be done at a different facility, etc.
                   
                  It will be interesting to see how this affects things actually. Will the urgency of the stroke code read decrease now that there’s this software? Then, with the <90 % sens and specs and perhaps slower reads from rads, I wonder how systemically this will change outcomes.

  • Unknown Member

    Deleted User
    September 7, 2020 at 7:06 am

    This is outrageous. Reimbursement cuts to radiologists on one end and 1000 $ cash gifts for an useless algorithm ‘per case’ to venture capitalists. Just makes my blood boil.