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In reply to the discussion: Gates sees software replacing people; Greenspan calls for more H-1Bs [View all]ChromeFoundry
(3,270 posts)Medicare and Medicaid will only reimburse reads performed by a doctor licensed in the US. The readings are often outsourced to US-based consulting companies that transmit the scans and noted overseas for assessment (performed by an individual who's credentials cannot be verified). The results are sent back the the US, and a US-credentialed doctor quickly reviews the assessment and transfers the findings back to the hospital.
A US-credentialed doctor that is legally allowed to read and assess X-ray, CT and/or MRI data makes over $250,000 / year.
Foreign counterpart with unverified credentials makes about $25,000 / year.
The US-Credentialed doctor is the name that is digitally signed on the assessment. Therefore, medicare and medicaid will ultimately pay for the procedure. If you ever had one of these procedures performed between 6PM and 8AM in a small to normal sized hospital - there is no question that the readings were performed by someone that is not at the hospital, and most likely an outside contract.
This practice has been common for over a decade.
http://www.nytimes.com/2003/11/16/business/who-s-reading-your-x-ray.html
http://www.nbcnews.com/id/44949425/ns/health-cancer/t/doctor-reading-your-x-rays-maybe-not/#.UyRqiYX2lZI