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A comprehensive monitoring and reporting program will be utilized to track and identify inappropriate utilization and referral patterns. Statistical profiles will be evaluated using national and local radiology utilization trend data and published quarterly. The referring physician will be profiled based on several factors including the ratio of requests for imaging procedures to patient encounters, the type of examinations requested compared to peers in the same specialty and region, and the percentage of requests approved as meeting accepted imaging guidelines. Imaging providers will be profiled on quality measures, satisfaction surveys and other parameters. Specific information regarding physician profiling and the frequency of the reporting will be available to you in the near future.