The resources in this section are offered to ensure that your business operations are up-to-date with the latest changes that may affect your practice.

Competing in the Marketplace: An In-depth Look at Practice Integration

"Competing in the marketplace: How physicians may increase their value in the health care market through medical practice integration,” an updated American Medical Association (AMA) resource, helps physicians identify benefits and limitations of integration arrangements and determine the integration level most sensible for their practice. It also points out possible antitrust pitfalls and educates physicians on managing any antitrust risks.

Access this resource at »

Note: An AMA account login, which requires an email address and name, is required to access the full PDF resource. By creating an AMA account, you are not becoming an AMA member.

Open Payments (the National Physician Payment Transparency Program)

On August 1, 2013, companies began compiling relationships with physicians, which will be publically reported on their websites beginning October1, 2014. This program, now called “Open Payments” (the National Physician Payment Transparency Program), was authorized under the Physician Payments Transparency Act (PPSA), a sub-section of the Affordable Care Act.

Physician Financial Transparency Reporting Requirements (Sunshine Act)

ACR members who interact with medical device and pharmaceutical manufacturers should begin tracking certain arrangements with those industry members.

Continue reading »
Toolkit for Physician Financial Transparency Reports (Sunshine Act) »
Journal of the American College of Radiology article, "Shining Light on the Sunshine Act" »

Appropriateness Utilization

The ACR actively evaluates the provision and interpretation of imaging services by provider type, site of service and frequency to identify solutions to ensure the appropriate utilization of medical imaging. The ACR is working with health care stakeholders from the private and public to ensure that the public receives safe, high-quality and correctly interpreted medical imaging exams.


While radiologists understand the necessity of having a written agreement, the many types of contracts and contractual terms can be confusing. In this section you’ll find guidance and examples on understanding and evaluating contracts.

Group Practice Resources

Some radiology practices operate solely at hospitals, while others divide their time between hospitals, imaging centers, private practices or a combination of practice settings. This may be dictated by manpower limitations or hospital pressures.



Effective September 23, 2013, ACR members and their practices must comply with the amended HIPAA regulations that govern privacy and security of patient health information.

The U.S Department of Health & Human Services (HHS) recently adopted new rules that change privacy, security and breach notification requirements. These new rules originate from the Government’s revisions to HIPAA under the Health Information Technology for Economic and Clinical Health (HITECH) Act.

All covered physician practices must update their HIPAA policies and procedures and otherwise implement the required changes by the September 23, 2013 enforcement date. ACR members likely will have to revise their Business Associate Agreements (BAAs) and their Notices of Privacy Practices (NPPs). They also should assess how they would handle an actual or potential breach of patient health information.

For more information, please refer to the RADLAW column in the April 2013 Bulletin. AMA’s HIPAA Toolkit is another helpful resource, available at


Thanks to our colleagues at the AMA who have developed a new free HIPAA TOOLKIT to help physicians comply with sweeping revisions to the federal privacy and security rules for health information that go into effect on Sept. 23, 2013. You can access it at the following link:

Medical Licensure-Liability

Medical liability threatens physicians, hospitals and insurers with rising jury liability awards, resulting in higher liability insurance premiums. These higher premiums may even price the practitioner out of his or her chosen specialty.

State Attorney Referral

The ACR Legal Department provides referrals to attorneys for radiologists and radiation oncologists who do not have representation or who would like to consult with a specialist in a particular area of the law such as medical staff bylaws.

Radiation Disasters: Preparedness and Response for Radiology

Radiologists, radiation oncologists and medical physicists will play a vital role as responders and as sources of accurate information for patients, the public and the medical community in the event of a radiation disaster.

Stark/Self Referral

The definition of "kickback" has gone from simple to very complex, while fraud and abuse provisions now extend well beyond the traditional Medicare and Medicaid parameters.

Telemedicine Teleradiology

Radiology has long been at the forefront of technological innovation. This has led to the increased reliance, especially in some rural areas, on telemedicine, specifically teleradiology. With this technology has come the need to better understand state and international medical and legal requirements.

ACR Expert Witness Affirmation Statement

When serving as expert witnesses, ACR members must present their own expertise and opinions. Testimony of ACR members does not represent the opinion or position of the ACR. This statement is a proactive and affirmative obligation.