The American College of Radiology (ACR) has created an online mechanism to collect reports from patients, members and facilities in the states impacted by Anthem’s outpatient imaging policy.
The ACR believes policies that treat diagnostic imaging as a commodity separate from the accepted continuum of health care are anathema to the profession’s central role in diagnosing and treating patients. Moreover, a proliferation of such prior authorization policies focused on site-of-service issues could turn medical imaging reimbursement into a race to the bottom with significant consequences for all imaging providers, regardless of practice setting. In its aggressive maneuvers to coerce hospitals to accept price reductions, Anthem is treating patients and ordering physicians as pawns entangled in its negotiating tactics.
Members in the affected states are encouraged to contact the ACR with details on how this Anthem site-of-service, prior authorization policy is affecting or will affect their practice and their patients. All stakeholders can share their experiences of the Anthem imaging policy on this designated webpage.
For more information, visit the ACR Outpatient Imaging Policy Resources page, frequently asked questions about the Anthem policy and exceptions to Anthem policy.