The most commonly asked questions about 3DR
1. Is there any capital expense or start-up fee?
No. One of the advantages to the services we provide is that our clients can avoid the costs of maintaining an in-house 3D laboratory. Our low fee per case charges allows both small and large clients to reduce the costs of software, hardware, and personnel.
2. Are there any minimums or continuing fees?
No. There are no minimum monthly fees and no minimum number of cases required. The fees charged are based upon the type of case submitted and the number of cases 3DR processes each month.
3. Are quantity discounts available?
Yes. 3DR’s fees are based partially upon the total number of cases that a client submits for processing each month. The more cases 3DR processes, the less each one costs during a given month.
4. Can multiple facilities combine case volumes for lower pricing?
Yes. Multiple, affiliated facilities that are covered by a single 3DR services agreement may aggregate their monthly case volumes to obtain the lowest quantity-discounted fee per case. This allows each affiliated facility – from the smallest to the largest – to receive the same price per case.
5. What are the turnaround times (TAT) for each completed case?
Case turnaround times vary depending upon the difficulty and priority of the 3D protocol requested by the client. 3DR guarantees to achieve the contractual TAT or it does not charge the client for processing the case. Turnaround times begin when 3DR has received all components of a case – including DICOM files, protocol specifications and priority designation (i.e. Routine, STAT, Super-STAT, etc.) – and end when the final completed image series has been transmitted (pushed) back to the client PACS for viewing and interpretation. Typical TATs range from 30 minutes for relatively simple protocols to as much as 12 hours for more involved cases that require multiple combination protocols and/or collaboration. Transmission times between 3DR and the client are not included in the turnaround time calculations.
6. What post processing software do you use?
3DR uses Best-of-Breed AV software to process each client’s cases. Some clients are accustomed to using specific software, so 3DR continually reviews and analyzes our AV software to ensure that it has enough licenses to satisfy our clients’ demands. We currently use software provided by several vendors including TeraRecon, Vital Images, Visage Imaging, and Medis Medical. Additional, specialized software from other vendors will likely be made available as client needs dictate.
7. Does 3DR read or interpret?
No. 3DR is not a radiology practice. 3DR provides 3D AV post processing services delivered by our specially-trained and licensed radiologic technologists. Although 3DR was founded by our firm’s Medical Director, a board-certified radiologist, we do not interpret cases or prepare diagnostic reports. The 3DR post processed images are transmitted back to the client’s PACS to be viewed by the client’s radiologists and referring physicians as part of the diagnostic or surgical planning process.
8. Do you provide long term archival storage of DICOM case files?
No. 3DR maintains the DICOM image files originally transmitted by the client and also the completed image files for a period of up to 30 days (“the accessibility period”). During this time, client physicians may request that 3DR perform additional processing or modify the completed images to respond to their need for additional analysis. Generally, no additional fees are charged for this subsequent processing. After 3DR transmits all initial and subsequent images back to the client’s PACS and the case is complete to the client’s satisfaction, 3DR purges the images from its data bases. It is the client’s obligation to provide long term, archival storage and retrieval of the completed cases.
9. Are you HIPAA compliant?
3DR is a receiver, processor and transmitter of electronic Protected Health Information (ePHI). We have Business Associate Agreements with each client that is a Covered Entity and 3DR is required to follow the same rules and regulations concerning use and disclosure of the PHI as a Covered Entity. 3DR goes to great lengths to insure the privacy and security of its clients PHI.
10. Do you use overseas personnel?
No. All of 3DR’s personnel are based in the United States and operate through our centralized laboratory facilities located in Louisville, Kentucky.
11. What are your hours of operation?
3DR Labs processes cases 24 x 7 x 365 including all holidays.
12. Who decides what type of images are sent back for interpretation?
You decide. Your radiologists and/or other specialists have full control over the 3D post processing protocols. You choose the protocols depending on thetype of case. Additionally, protocols can be modified by your doctors any time as software and medical indications change.
13. But we already have a 3D lab. Why should we consider using 3DR?
Even if you maintain in-house post processing, you can use 3DR in a variety of ways to improve workflow, profitability, and quality. 3DR can provide off hours coverage, fill in on busy days or when you are short staffed. We can provide expertise on unusual cases where your techs might not feel comfortable, or you might not have the software needed to process specific cases. 3DR's techs can mirror your protocols for seamless 24/7/365 coverage.
14. Are there any other advantages to outsourcing 3D post processing?
Absolutely! 3DR tracks turnaround times on all cases, giving you an excellent metric for Joint Commission review. 3DR's record keeping and reporting process also makes it easier to bill and code properly for reimbursement, and all of our protocols contain the necessary degree of post processing to verify your charges and codes. We can also provide documentation to support concurrent supervision by your radiologists for the purpose of billing the 76376 code.