North Carolina Radiological Society
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Attached below is a nice summary of the importance of RADPAC, especially as we head into unchartered waters with pay for performance incentives, etc.

The proposed 2019 MPFS and HOPPS fee schedules are in the links below. CMS estimates that the proposed MPFS will keep radiologists’ payments essentially unchanged. The MPFS also includes extensive proposed changes to the evaluation and management coding structure. The Quality Payment Program proposed rule is combined with the PFS this year and continues the gradual implementation of the Merit Based Incentive Payment System. For the 2019 performance year, CMS proposes a performance threshold of 30 points (increased from 15), and an exceptional performance threshold of 80 points (increased from 70). The cost category is proposed to account for 15% of a clinician’s final score, although the ACR anticipates changes to the attribution methodology for cost measures that would be favorable to radiologists. CMS proposes changes to the scoring of the newly renamed Promoting Interoperability (PI) category, although the special status criteria for exemption from PI are unchanged; many radiologsts will remain exempt from this category as non-patient facing and/or hospital based clinicians. The ACR has extensively reviewed these rules and submitted comments to CMS on behalf of members.

RADPAC and the ACR Economics team formulate well-crafted responses to these proposed rules. Many negative proposals have been avoided over the years. RADPAC also engages our hardworking senators and congressmen. They have formed relationships over many years that can be instrumental in protecting the viability of our specialty.

10% of rads contribute to RADPAC nationwide, which is disappointing. North Carolina Radiologists contribute at a much higher level, approximately 28%. NC also has the most outstanding practices, those with 100% participation in donating to RADPAC. We have 8 such practices. Let’s get that number higher and also increase the amount per rad. $1,000 per year is a lofty goal but would go a long way to protecting our specialty. And if you come to the Annual Meeting in D.C., you can attend the RADPAC Gala with a guest with this contribution. I would ask NC rads to give as much as they are comfortable with. You won’t find a more dedicated group of individuals than Ted Burnes and Josh Cooper and their team. Let’s give them all the help we can.


Kevin M. Cregan, M.D. FACR
RADPAC Representative NCRS.