HCA Probe Reignites Questions Over Interventional Appropriateness
In Maryland, where two cardiologists were convicted in 2011 of having billed Medicare out of hundreds of thousands of dollars for unnecessary interventional procedures, the American College of Cardiology and the Society of Coronary Angiography are working to develop a program to conduct peer review for cardiologists and certification of catheterization labs.
Fonarow says he feels certain that today, most interventional procedures are done in patients who present with acute symptoms: they are having a heart attack and many will die unless a blockage is removed quickly.
"It is generally accepted that lesions that are less than 70%, unless there are mitigating circumstances, and certainly less than 50%, and which do not cause symptoms and aren't limiting flow... should not be intervened upon," he says.
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
- Two-Midnight Rule Must be Fixed or Replaced, Say Providers
- CDC Warns of Antibiotic Overuse in Hospitals
- AHRQ: Surgical Admissions Bring 48% of Hospital Revenue
- Care Coordination Tough to Define, Measure
- Steep Drop Seen in Medically Unnecessary C-Sections
- HIMSS: Software Bugs, Shifting Alliances Unsettling for CIOs
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- Hospitals Adapting Amid Continued Drug Shortages
- As Allegations Swirl, Baylor Plano Rejects Baldrige Award
- SCOTUS Review of NC Board Case 'A Very Big Deal' to Providers