About the CoalitionProactively advocating with federal policymakers about certain issues related to medical imaging services

The Imaging e-Ordering Coalition (“Coalition”) is an informal organization that was created in 2009 for the purpose of proactively advocating with federal policymakers about certain issues related to medical imaging services. The Coalition has worked specifically to promote the use of computerized Clinical Decision Support (CDS) technologies that provide clinicians with guidance regarding the ordering of patient-appropriate imaging services. The Coalition exists today to support the widespread adoption and use of electronic ordering for imaging services in conjunction with the use of CDS tools to guide clinicians to order the right test at the right time.

This work supported the successful inclusion of Section 218(b) in the Protecting Access to Medicare Act of 2014, which directs the Department of Health & Human Services (HHS) to implement a CDS program for advanced imaging services provided to Medicare beneficiaries. Initial steps to implement Section 218(b) are currently underway at HHS.

As an informal entity, oversight of the Coalition is conducted by its co-Chairs – Mr. Michael Mabry, Executive Director, the Radiology Business Management Association (RBMA) and Mr. Joe Allen with the American College of Cardiology (ACC). Support services are provided by the law firm of Holland & Knight, LLP. In general, Coalition activities are defined by the consent and mutual agreement of the membership, and activities are consistent with our mission, goals and scope of work.

A subset of the Coalition has formed a work group to develop a framework for the implementation of workflows associated with the electronic ordering of advanced imaging services including the use of CDS and documentation of that use. Participation in the work group is open to any Coalition member. Click HERE to get an update on the Coalition’s Work Group recent activities.


The membership of the Imaging e-Ordering Coalition is united by a common interest in promoting the successful adoption of electronic ordering for imaging and to promote the use, by relevant constituencies, of clinical decision support (CDS) tools that guide clinicians in ordering advanced diagnostic imaging services. The coalition provides a forum for its members on electronic ordering and CDS issues and develops materials to educate internal and external stakeholders.

The Coalition strives to:

  • Improve patient care through the appropriate use of advanced imaging;
  • Successfully demonstrate the advantages of CDS over traditional techniques employed by radiology benefit managers;
  • Ensure a smooth implementation and transition to CDS by ordering and rendering providers and facilities.