Re: supervision

From: Jeanette Burlbaw (prenatalimaging@sbcglobal.net)
Wed Mar 29 18:24:19 2006


Gentlemen - Have you forgotten about 'fee for service'? It needn't be considered laissez-faire. An internal medicine friend has been 'no insurance' for over 10 years. He helps his patients submit for reimbursement, but he is on a cash only basis. He's quite happy, perhaps not the wealthiest, but says he couldn't stand the stupidity of the insurance companies and medicare rules any longer.

--
  Jeanette Burlbaw BS RDMS FSDMS
  Prenatal Imaging Centers

"DuBose, Terry" <DuboseTerryJ@uams.edu> wrote: I don't think so. It will depend upon how sonography goes in the future... if it goes to a laissez-faire economy, then sonographers can do that for which they are willing to take responsibility, and many will go to the baby studio model. If we go to some kind of single payer government controlled system, then who knows how it will go.

I think outsourcing is here to stay, at least in corporate medicine and large institutions. For example, emergency after hours call may turn into an overseas reading because it will be day-time there, and the local radiologist can just stay in bed. However, there will have to be someone who understands sonography to operate the machine, even if it is a near automated volume scans... sonographers could evolve into "acoustic anatomists".

The real threat to contemporary sonography is the other modalities, MRI, CT… if they can ever get the price down, and make them emergency friendly.

Speaking of volume scans, have you seen the last two articles in the “white journal”? The next to the last is the short bit about the cover image, “Distended fetal jugular lymphatic sacks in 1st trimester”.

The last article is “Examination of the fetal heart by 4D STIC.” Be sure to go to the electronic and download the video clips… takes some memory… there are 14. Some are small, some larger. The largest is 77 megabytes. I would not recommend the downloads on dial-up.

It was good to see you and visit at AIUM. Terry

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM Associate Professor & Director, Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm

--------------------------------- From: ultrasound@obgyn.net on behalf of art fougner, md --------------------------------- Sent: Wed 3/29/2006 3:45 PM --------------------------------- To: Multiple recipients of list ULTRASOUND Subject: Re: supervision

CMS = Son of HCFA. So what now of Sonographers' Independent Practice - a non-starter?

Art

At Wed, 29 Mar 2006, DuBose, Terry wrote: > >No need to ask for "excuse my ignorance but what is CMS?" Not too long >ago I did not know either. It is the Centers for Medicare & Medicaid >Services. > http://www.cms.hhs.gov/ > >They decide how little we will be paid for exams, and then the corporate >medical folks follow their lead in short order. > >Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

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