The Radiology Department at Driscoll Children’s Hospital in Corpus Christi, Texas, didn’t need a nudge from Washington, D.C., to upgrade to digital radiography (DR). With one exception, the department’s x-ray rooms were fully DR-capable as of last year; Centers for Medicare and Medicaid Services (CMS) said it would start reducing payments for analog X-ray in 2017 and for computed radiography (CR) in 2018.