Radiology’s Next Move: Bigger Data

In the 1990s, it was easy to be a success. You had to work hard not to be a success. That’s not true...

Revenue-cycle Management: Minimizing Denials and Maximizing Collections

The best way to minimize denials is to prevent them in the first place, by making sure that medical claims meet the requirements for...

The Mystery of the Missing Collections

How well do you really know your payors? A recent analysis for one practice turned up some very interesting revelations with operational ramifications for...

Better Business Intelligence: Enhanced CPT Code Analysis

This article is the first in a two-part series about how radiology practices can derive superior business intelligence from their existing coding and payment...

The Other Data Deluge: ICD-10

In his preview¹ in Health Affairs of the impending data deluge scheduled to begin with the transition to ICD-10 on October 1, 2013, Harris Meyer...

The Next Generation of Outsourced Billing

The decision to outsource billing is one faced with increasing regularity by radiology groups seeking to trim costs while maximizing reimbursement. Within this larger...

Price Transparency Gains Traction

Jeff Ronner, CFO

Owing to a confluence of market forces, industry innovation, and government action, consumers in more than half of US states now...

Lost in Transcription

Charge reconciliation—the practice of identifying procedures that have slipped through the cracks at some point in the charge process and billing for them...

Preventing a MAC Attack: The Importance of Radiology Charge-capture Audits

The advent of Medicare administrative contractors has emphasized the importance of ensuring that charge capture is consistent and accurate for the professional and technical...

Strategies for Accommodating Self-pay Patients

Randal Roat Jana Landreth

As the ranks of the uninsured continue to grow, it is increasingly important for radiology practices to implement strategies for...

Taking Advantage of the Radiology Audit

A radiology provider should look at an audit as a strategic opportunity, not a punishment, Claudia A. Murray, RCC, told her audience at the...

RBMA Attendees Debate Outsourced Billing

It is a question often pondered by practice managers and others overseeing the financial aspects of an imaging enterprise: What guidelines or benchmarks do...

Managing Errors in Demographic/Clinical Information: Using Tracking Mechanisms

All insurance accounts fall into one of two groups: full resolution (at negotiated fees, where the credits only consist of cash, contract adjustment, and...

Advisory Opinion Muddies the Waters on Preauthorization

After reviewing a proposed arrangement pursuant to which a company would handle the processing and submission of insurance preauthorizations for various imaging services for...

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Appropriateness and the ACO: How Radiology Can Position Itself to Lead

The Growth Paradox: How Should Radiologists’ Behavior Be Rewarded?

Using Analytics to Achieve Strategic Goals: Quantum Imaging & Therapeutic Associates

For many years, hospitals and physician practices have engaged with payors in a little game we play in a free market society called “negotiation.” This game enables the players to use whatever tools and stratagems they possess to leverage as good a price possible for their services/business in an increasingly price-conscious marketplace. On the provider side, good means high, and on the payor side, good means low. Providers might negotiate from a position