( on the back but every other aspect of ...)International Teleradiology: The Future Of Radiologic Diagnosis,Health

on the back, but every other aspect of the interaction is preserved,’ says Dr. Arjun Kalyanpur, who is currently running Teleradiology Solutions, a ‘nighthawk’ company, based in Bangalore. The speed of the examination, the accuracy of the clinical information obtained and the low incidence of technical problems are some of the distinct advantages of International Teleradiology.

The Centers for Medicare and Medicaid Services (CMS) restrict payment to radiologists, outside the United States. This problem is being overcome by obtaining a preliminary report from the overseas radiologist who receives a payment ($50 to $75 per radiograph) from either the hospital or the local U.S. radiologist. The preliminary report is soon supplemented with a U.S. radiologist's final, primary report. Issues have been raised by the ACR regarding the tendency of domestic radiologists to overlook the images and sign it off scrutinizing the films for a second time.

The suspension of the Wipro trial in 2003 that involved the testing the Teleradiology services through Indian radiologists (neither licensed nor board-certified) based in the U.S no doubt question the potential of such controversial overseas services. The willingness of Indian radiologists to work for low wages and the reduction in financial burden would probably aid in the survival of such an industry.

Although the technical challenges related to Teleradiology services have now been overcome, widespread use of the technology would be possible without effective implementation of the ACR guidelines and settlement of licensure and reimbursement related issues. To conclude, it would be reasonable to allow for a healthy competition among international and domestic radiologists, taking into consideration the most important aspect of the health care industry, the health care provider and the patient.

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