Q: Tell us about a recent change implemented at your practice.
Since we are a very large practice, even small changes in billing or reimbursement can have a major effect on us. To improve our billing and reimbursement processes, we've made three specific changes.
First, we are better educating our radiologists to ensure our interpretations comply with recommended coding standards. Next, our business office is working directly with hospital administration to make sure we have ICD-9/10 codable with specific indications for the examinations being performed. And, finally, we have significantly increased reviews of rejected claims to better understand the issues surrounding the rejections. Our goal is to have five percent or fewer rejections by payers based on inaccurate, imprecise, or incomplete indications or dictations.
In light of health-care reform, our practice is also increasing engagement with clinicians and hospital administration as well as with state and national legislators. Solidifying relationships with our clinical colleagues is important as we work together to improve patient care. State and national legislators need to hear the message that appropriately utilized imaging is less costly, improves patient care, and saves lives. And, further cuts to reimbursement may be counterproductive and are not necessary if we concentrate on eliminating the unnecessary costs associated with inappropriate utilization of imaging procedures.
“Our goal is to have five percent or fewer rejections by payers based on inaccurate, imprecise, or incomplete indications or dictations.” — Timothy V. Myers, M.D.
Making needed corrections to billing and coding procedures will improve our ability to absorb the coming reductions in reimbursement. Working with our state and national legislators helps our message be heard and demonstrates that we can be influential and effective leaders.
Timothy V. Myers, M.D.
Director of Professional Services, vRad
Eden Prairie, Minn.