Billing

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 components of care.

Medical Imaging Review, January 26, 2010

Strategies for Accommodating Self-pay Patients

As the ranks of the uninsured continue to grow, it is increasingly important for radiology practices to implement strategies for dealing with self-pay patients.

ImagingBiz Newsletter, January 18, 2010

Taking Advantage of the Radiology Audit

A radiology provider should look at an audit as a strategic opportunity

ImagingBiz Newsletter, August 17, 2009

RBMA Attendees Debate Outsourced Billing

It is a question often pondered by practice managers and others overseeing the financial aspects of an imaging enterprise:

ImagingBiz Newsletter, July 15, 2009

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 probable bad debt, if any patient balance cannot be collected) or full write-off (where the practice did not comply with a payor-based rule).

ImagingBiz Newsletter, June 15, 2009

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 the benefit of multiple imaging centers.

ImagingBiz Newsletter, January 15, 2009

Using Adjustment Coding to Manage Practice Compliance

The October 2008 ImagingBiz.com article Keep Payors Honest With the Practice Receivable System concentrated on advanced techniques for monitoring the insurance companies that compensate radiologists for their clinical services.

ImagingBiz Newsletter, January 15, 2009

ICD-10 Mandate to Break Physicians’ Bank

The typical 10-physician practice will spend $285,240 to comply the new federal mandate to adopt the ICD-10 code set by 2011.

Radinformatics, November 15, 2008

Keep Payors Honest With the Practice Receivable System

It is not a completely fair analogy, but the differing agendas of payors and providers place receivable processing in something of a battle zone.

ImagingBiz Newsletter, October 15, 2008

ICD-10 Deadline Brings on IT Headaches

No sooner did CMS call for an October 1, 2011, compliance date for the switch from ICD-9 to ICD-10 codes than a hue and cry arose from the health care industry, claiming that the change comes too soon.

Radinformatics, September 15, 2008

Collecting Self-pay Balances: Cash Is King

You cannot pick up a newspaper today without reading about the 47 million uninsured US residents. Well, that is only the tip of the iceberg.

ImagingBiz Newsletter, August 15, 2008

Contract Negotiations: Not Just About the Dollars

Contract negotiations with payors formerly were a lengthy process. Not any more; they are concluded now in half the time because payors have stopped telling radiology groups to take it or leave it and, instead, are simply saying, “Take it.”

ImagingBiz Newsletter, June 12, 2008

Proper Coding Delivers Big Results

Correct procedure coding is a primary, and pivotal, activity among providers and payors alike.

ImagingBiz Newsletter, May 15, 2008

Radiology Coding and Compliance for 2008

Every year, radiology professionals who are responsible for ensuring the accuracy and compliance of coding and billing practices must do an internal assessment to ensure that their practices/organizations would withstand external scrutiny.

ImagingBiz Newsletter, March 15, 2008

Process Automation: The Key to Improved Financial Performance

The high procedural volumes associated with radiology provide both a challenge and an opportunity.

ImagingBiz Newsletter, February 15, 2008

ARA Floats an Automated Billing Process… And Inhales

The 65-radiologist Austin Radiological Association is well known for its robust information technology deployment throughout central Texas.

ImagingBiz Newsletter, August 15, 2007

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