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Letters |

Physician Billing and Cardiac Stress Testing Patterns

Juan J. Vazquez-Bauza, MD
JAMA. 2012;307(8):781-783. doi:10.1001/jama.2012.189.
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To the Editor: Dr Shah and colleagues1 reported that cardiac stress testing after revascularization was more frequent if patients were treated by physicians who billed for cardiovascular imaging testing than by physicians who did not. Before accepting this conclusion, perhaps the authors should consider the study by Hendel et al2 that found, in a prospective analysis of self-referred practices, a statistically significant higher rate of inappropriate studies ordered by noncardiologists compared with cardiologists.

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February 22, 2012
Bimal R. Shah, MD, MBA; Pamela S. Douglas, MD; Eric D. Peterson, MD, MPH
JAMA. 2012;307(8):781-783. doi:10.1001/jama.2012.190.
February 22, 2012
Patricia A. Pellikka, MD; Robert B. McCully, MD
JAMA. 2012;307(8):781-783. doi:10.1001/jama.2012.188.
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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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