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Table of Contents
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Letter from the Editor |
As a radiologist, I can explain how the field has changed over the years. Radiology is a medical specialty that uses medical imaging techniques to diagnose and treat diseases and injuries. It plays a crucial role in modern medicine, enabling physicians to visualize internal structures and identify abnormalities non-invasively. Here are some of the significant changes in the field of radiology:
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- Technological Advancements: One of the most significant changes in radiology is the rapid advancement of imaging technology. Over the years, there has been a transition from traditional film-based imaging to digital imaging modalities, such as computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and digital X-rays. These digital systems provide higher image quality, faster image acquisition, and easier storage and retrieval of patient data.
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- Integration of Artificial Intelligence (AI): AI and machine learning have made their way into radiology, revolutionizing the way images are analyzed and interpreted. AI algorithms can assist radiologists in detecting and diagnosing abnormalities more accurately and efficiently. They can also help in automating repetitive tasks, such as image segmentation and measurements, freeing up radiologists’ time for more complex decision-making.
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- Improved Image Visualization and Post-processing: Advanced image visualization techniques and post-processing tools have enhanced the ability to extract more information from medical images. Radiologists can now create detailed 3D reconstructions, multi-planar reformats, and functional imaging maps, providing better insights into complex anatomical structures and disease processes.
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- Teleradiology: Teleradiology has allowed radiologists to provide their expertise remotely, even across different time zones. This technology has been particularly beneficial in rural or underserved areas, where access to specialized radiologists might be limited. Teleradiology has improved turnaround times for image interpretation and facilitated consultations between radiologists and other healthcare professionals.
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- Interventional Radiology: Interventional radiology has evolved as a distinct subspecialty within radiology. It involves using imaging guidance to perform minimally invasive procedures for diagnosis and treatment. Procedures like angioplasty, embolization, and image-guided biopsies have become more common, reducing the need for open surgeries and decreasing patient recovery times.
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- Personalized Medicine: Radiology has played a crucial role in the development of personalized medicine. By combining imaging findings with genetic information and other patient data, radiologists can tailor treatment plans to individual patients’ specific needs, leading to more effective and targeted therapies.
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- Emphasis on Radiation Safety: With the increased use of medical imaging, there has been a greater focus on radiation safety. Radiologists are now using lower-dose protocols and employing techniques to minimize unnecessary radiation exposure, especially in pediatric patients and pregnant women.
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- Collaboration with Other Specialties: Radiologists now work more closely with other medical specialties, such as oncology, cardiology, and neurology. By collaborating and sharing information, multidisciplinary teams can develop comprehensive treatment plans for complex medical conditions.
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- Continuing Education and Sub specialization: The field of radiology has become more specialized, with radiologists focusing on specific areas like neuroradiology, musculoskeletal radiology, breast imaging, and more. Continuing education and ongoing training are essential to stay current with the latest developments in these subspecialties.
These changes have not only improved the accuracy and efficiency of diagnoses but have also expanded the role of radiology in patient care. As technology continues to advance, radiologists will likely play an even more significant role in the future of medicine.
CHATGPT Series #1
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Edem Chen, MD
Secretary, FRS |
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Meet Your 2023 – 2024 FRS Executive Committee |
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President
Laura Vallow, MD |
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President Elect
Juan Batlle, MD
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Treasurer
Andrew Bowman, MD, PhD |
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Secretary,
Edem Chen, MD |
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Past President
Chintan Desai, MD, FACR |
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Radiation Oncology, Chair
Jennifer Peterson, M.D.
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FRS President’s Message |
I am Laura Vallow and will be serving as the incoming president of the FRS. I am looking forward to taking on this role and as a Radiation Oncologist am very excited about the potential of increasing radiation oncology interest and engagement in the Society.
This year’s priorities include increasing awareness of the resources and advocacy the FRS provides for all radiology related professionals. We will continue to provide excellent education, networking, and advocacy opportunities. In addition, we will increase our efforts to engage with early faculty and trainees, while continuing our advocacy efforts led by our fantastic lobbyist, Alison Dudley.
Thank you to all who attended the FRS/FRBMA annual meeting at the Ritz-Carlton, Sarasota this July. It was an awesome event with 255 registrants including 92 resident/fellows and 64 medical students. Congratulations to Dr. Chintan Desai, Dr. James Bates, Dr. Phil Cook and the Education & Program Committee for hosting a wonderful event.
I would like to thank past presidents who have generously shared their knowledge, insight, and dedication. I am looking forward to serving you this year. Please do not hesitate to reach out to me with any thoughts, ideas, suggestions or if you would like to get more involved.
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Laura Vallow, MD
President, Florida Radiological Society |
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FRBMA President’s Message |
Each year, physicians, and other health care providers are faced with a Medicare Physician Fee Schedule (MPFS) Proposed Rule, and this year is no different. The Calendar Year (CY) 2024 MPFS Proposed Rule was published on July 13th, 2023, and stakeholders have 60 days in which to submit public comments, with the Final Rule to be published by November 1st, 2023.
The proposed conversion factor for CY 2024 $32.75 which is a decrease of $1.14 (or -3.34%) from the 2023 conversion factor of $33.89. Factors that are driving this decrease include proposed increases in payments for primary care and other direct patient care providers and budget neutrality requirements. The Centers for Medicare and Medicaid Services (CMS) notes that approximately 90 percent of the -2.17 percent budget neutrality adjustment can be attributed to the proposed payment for G2211, an evaluation and management (E&M) code that was finalized as a code in the 2021 MPFS Final Rule.
G2211 reimburses clinicians for the costs associated with E&M visits for primary care and longitudinal care of complex patients and CMS believes this code will be used frequently, initially as much as 38 percent of all Office/Outpatient E/M visits and 54 percent when fully adopted. Payment will have “redistributive impacts for all other 2024 PFS payments due to statutory budget neutrality requirements.” G2211 is billed separately in addition to new or established Office/Outpatient E&M codes.
Relative Value Unit (RVU) reductions and the third year of the updates to clinical labor pricing are also contributing to the decrease in clinician payments. The estimated impact of the Proposed Rule is as follows: |
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- Other highlights in the Proposed Rule include:
- Pausing the Appropriate Use Criteria Program for an undetermined length of time and a discontinuation of the education and testing period.
- Continuing to permit use of real-time audio and interactive video telecommunications for direct supervision through December 31, 2024.
- Maintaining the 2023 Merit-based Incentive Payment System (MIPS) Performance Categories as follows:
- Quality: 30 percent
- Cost: 30 percent
- Promoting Interoperability: 25 percent
- Improvement Activities 15 percent
- Increasing the performance threshold from 75 to 82 points.
- Maintaining data completeness, which defines the minimum subset of patients within a measure denominator that must be reported, at 75 percent.
- Deleting 15 Quality Measures, notably measure 147 (Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy), measure 324 (Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients), and measure 436 (Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques).
- Replacing measure 436 with measure A1-eCQM (Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Clinician Level).
- The percentage of CT exams that are out-of-range based on having either excessive radiation dose or inadequate image quality relative to evidence-based thresholds based on the clinical indication for the exam.
- All diagnostic CT exams of specified anatomic sites performed in inpatient, outpatient, and ambulatory care settings are eligible.
- It is important to note this measure will require the use of additional software to access primary data elements that are stored in the radiology EHR records.
- There are no changes to the Improvement Activities that impact radiology.
- The proposed Episode Cost measure that may impact radiology is Low Back Pain, which could be triggered if a beneficiary is seen at least two times with a low back pain diagnosis in a 60-day global period. This will only be triggered if the rendering providers are in the same group.
- There are proposed increases to the thresholds for Qualifying Participants (QP) in Advanced Alternative Payment Models, as follows, and CMS is proposing to calculate QP status at the individual clinician level versus profiling the AAPM. If finalized, 75 percent of a clinician’s Medicare Part B payments must come from beneficiaries who are in the AAPM and 50 percent of that clinician’s Medicare beneficiaries must be in the AAPM.
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- Five MIPS Value Pathways (MVPs) are proposed for 2024 and radiology does not yet have an MVP in which to participate.
Special thanks to Barbara Rubel and MSN, LLC for their preparation of this summary of 2024 MPFS Proposed Rule as submission in this month’s e-brief.
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Lisa Adams, CEO, MBA
President, FRBMA |
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Legislative Update |
Thanks to everyone who attended the annual FRS conference in Sarasota. It was wonderful to see everyone.
Hopefully everyone is staying cool as Florida along with many places in the nation have hit record heat indexes.
The Senate President recently made remarks on what she wants lawmakers to work on during the upcoming session that starts in January. She indicated she wants lawmakers to work on various measures aimed at attracting more health care providers to the state. When questioned she did not think expanding Medicaid was the answer.
Her counterpart, Speaker Paul Renner, recently said his focus for the upcoming session would also be on healthcare.
He wants to focus on medical-related issues as another way to lower the cost of living for Floridians.
The speaker’s agenda included price transparency of hospitals, especially as relates to a patient’s ability. He wants patients to have pricing available to compare providers.
Session starts in January and as we all know too well; the devil is in the details.
Campaign season is underway and folks are actively fundraising. Time to make friends so please support your FRS PAC.
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Alison Dudley, FRS Lobbyist
AlisonDudley@dudleyandassociates.com |
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Job Posting Opportunities |
Florida Radiological Society is pleased to introduce the opportunity for interested parties to advertise for potential jobs in our monthly FRS Ebrief bulletin.
Advertisement pricing is as follows:
Ebrief Job Posting pricing:
3 months ($100 monthly)
6 months ($90 monthly)
12 months ($80 monthly)
Please contact Lorraine Roger, our Society Administrator for further information on how to advertise in our monthly publication.
Phone: (813) 806-1070
Fax: (813) 806-1071
Email: lroger@flrad.org
We feel that this will provide a valuable service to both our members and our Florida community of Radiology.
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Become a PAC Member Today |
Attention FRBMA Members! Please support the cause. We encourage you to be PAC members and supporters; you do not have to belong to the FRS. Donations can be made online through our PAC website www.FLRADPAC.org. Thank you for your donation: Drs. Banks, Cernigliaro, Cook, Entel, Epstein, Hatton, Klein, Letter, Muroff, Overfield, Rose.
It is critical that we support both our Florida PAC and RADPAC in order to bolster our voice in Tallahassee and Washington, respectively. Please join FRS lobbyist Alison Dudley in her special appeal for all Florida radiologists to become Florida PAC members. If you would like to help FRS defend radiology against untoward legislation and introduce bills that have a positive impact on our practices, we need your financial support to re-elect our friends in the state House and Senate. The FRS can also show you simplified ways on how to sign up your radiology group. Contact Lorraine Roger or contact Alison Dudley at for more information. |
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Telephone (813) 806-1070 • Fax (813) 806-1071
5620 W. Sligh Avenue • Tampa, Florida 33634

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The E-Brief is an exclusive member benefit of Florida Radiological Society, delivering monthly member, chapter and industry news. Please do not reply to this automatic e-mail. For comments or questions about the E-Brief, please contact lroger@flrad.org. |
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