Medicare, a major healthcare program under the Centers for Medicare & Medicaid Services (CMS) has extended telemedicine services within several states in the US for different specialties for which it reimburses in order to establish a qualitative and accessible healthcare system. In parallel, it has been seen that teleradiology services by American Board Certified radiologists based offshore can significantly supplement healthcare delivery in the US by mitigating the shortage of radiologists and enhance outcomes of patient care especially for after-hours emergency work. Teleradiology can help workflow by improving workload distribution, lowering the cost of reporting, shortening turn-around-time for reports, and improving quality of life for staff. The aim of the article is to provide perspective on Medicare reimbursement of offshore telereporting services. We submit that due to its value proposition and contribution to healthcare, offshore telereporting by American Board Certified Radiologists is worthy of Medicare reimbursement and should be re-evaluated for its credits.

Marine geological maps of the Campania region have been constructed both to a 1:25.000 and to a 1:10.000 scale in the frame of the research projects financed by the Italian National Geological Survey, focusing, in particular, on the Gulf of Naples (Southern Tyrrhenian Sea), a complex volcanic area where volcanic and sedimentary processes strongly interacted during the Late Quaternary and on the Cilento Promontory offshore. In this paper, the examples of the geological sheets n. 464 “Isola di Ischia” and n. 502 “Agropoli” have been studied. The integration of the geological maps with the seismo-stratigraphic setting of the study areas has also been performed based on the realization of interpreted seismic profiles, providing interesting data on the geological setting of the subsurface. The coastal geological sedimentation in the Ischia and Agropoli offshore has been studied in detail. The mapped geological units are represented by: i) the rocky units of the acoustic basement (volcanic and/or sedimentary); ii) the deposits of the littoral environment, including the deposits of submerged beach and the deposits of toe of coastal cliff; iii) the deposits of the inner shelf environment, including the inner shelf deposits and the bioclastic deposits; iv) the deposits of the outer shelf environment, including the clastic deposits and the bioclastic deposits; v) the lowstand system tract; vi) the Pleistocene relict marine units; vii) different volcanic units in Pleistocene age. The seismo-stratigraphic data, coupled with the sedimentological and environmental data provided by the geological maps, provided us with new insights on the geologic evolution of this area during the Late Quaternary.