Diagnostic Mammography + Diagnostic Ultrasound

Offering comprehensive evaluation of breast abnormalities under one roof your practice can gain a competitive advantage including:

  • Exceptional quality through continuity of care: Patients receive their diagnostic imaging with the same trusted technologists and clinical partners who perform their annual screenings.
  • Greater access with faster appointment availability: Onsite’s integrated model allows practices to schedule diagnostic follow-ups sooner, helping patients get answers quickly and reducing delays in care.
  • Stronger patient retention that drives volume: When patients return to the same practice for both screening and diagnostic imaging, practices see increased continuity, higher satisfaction and improved downstream volume.

Offering diagnostic mammography and breast ultrasound is beneficial when there is limited local diagnostic appointment availability and/or patients are not returning for screening after being referred elsewhere for diagnostics. Diagnostic (DX) services are subject to different compliance requirements than screening mammography and viability is evaluated site-by-site, as it must fall into a specific operational model.

EVALUATING YOUR OFFICE FOR DX SERVICES:

  • Can the practice provide an ultrasound machine for DX US appointments?
  • Yes – This is the preferred scenario and is the most cost-effective outcome.
  • No – OWH can purchase a machine for the practice (invoiced as a monthly fee).
  • Can the practice provide a breast-trained sonographer available for breast US appointments?
  • Yes – This is the preferred scenario and is the most cost-effective outcome.
  • No – OWH can contract a sonographer for one day a week (daily fee of $600).

KEY STEPS FOR IMPLEMENTING DX SERVICES:

  • The interpreting radiologist must bill your practice directly for the professional component (PC) of government payor exams. Unlike screening mammography, this component is not included in OWH’s fee.
  • OWH will help coordinate a direct agreement between your practice and the radiologists for billing the PC.
  • Your practice will need to split-bill diagnostic exams (technical component + professional component).
  • The radiologists should be credentialed with the practice’s payors. 
  • DX reports are delivered to your office within 24 hours of the exam being sent to the radiologist for interpretation.
  • The practice communicates B4/B5 results to patients and refers them to a downstream care facility for next steps.