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To: NAG1 who wrote (20928)	10/4/2025 7:59:15 AM
From: peterad	7 Recommendations Recommended By chowder ddbpaso jritz0 Markbn R.Daneel.Olivaw and 2 more members Read Replies (1) \| Respond to of 23162

Radiology exams have all been digitized for 20+ years Medicare rules that they be read by a person licensed in the US. Every state has their own license board and application. Several years ago some exams were read overseas by US licensed doctors but this is pretty much gone. The cost difference has zero to do with malpractice. The radiologist gets about $10 for a chest X-ray, up to $100 for an MR. The vast majority of the cost is the technical fee which can run several thousand dollars for some exams. Outpatient centers are usually cheaper than hospital exams. Insurance companies negotiate with the various centers and radiologists what they will pay.

To: NAG1 who wrote (20928)	10/5/2025 12:26:16 PM
From: Diddywahdiddy	4 Recommendations Recommended By ddbpaso jritz0 LCES Steve Mac Respond to of 23162

RE: I've heard, can't verify, that many times when the XRays or MRIs are done, that results are sent overseas to have a radiologist examine them. Not sure if that is true and if may only be for certain medical systems. Both the State Board of Medical Licensure AND Medicare/Medicaid/Private insurers require that the MD/DO must have a valid & unrestricted license to practice Medicine in the state where the imaging was done. There is absolutely no way that a non-licensed MD/DO can provide medical services without a current/unrestricted license in that particular state. In the SE USA states of MS/AL/LA/TN/GA, the 'malpractice crisis' peaked about twenty years ago. Several states' legislatures, at the response of regional state Medical Societies, put a transitioning 'cap' on medical malpractice suits, and also set up where lawsuits that were determined to be 'frivolous' by the arbitrator/mediator/presiding judge...the plaintiffs had to pay all legal fees on both sides, and in some states were liable for loss of wages/income. As an "Interventional Pain Specialist", the late 1990's-early 2000's were the worst for annual malpractice cost. Typical coverage was $1million/$3million. To provide background, I had been practicing since 1986, took a sabbatical in 1994 to do a fellowship back in Houston where I'd done my residency, fortunately was never involved in a lawsuit and never had to file suit against anyone, and retired 12/31/2022. My annual malpractice late 90's-early 2000's varied from $18K-$22k, peaking around 2005. Then with the legislation, my annual malpractice gradually decreased and for the last 5-7 years of my practice it averaged $6.5K. Best, DWD