Learn the 3 study types that may account for up to 80% of radiology claim denials

Claim denials drive up the cost of healthcare and divert resources from the primary goal of delivering quality patient care. When it comes to radiology services, the vast majority of claim denials can be attributed to insufficient documentation of medical necessity for three types of studies. Increased awareness of claims requirements among ordering clinicians, technologists…

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What everyone needs to know to ensure we all get paid

Claims management is essential to patient care. If a facility is not properly reimbursed for medical services rendered, patient care will ultimately be compromised. When it comes to radiology services, often those on the front lines of patient care – the technologists, those scheduling imaging services, clinicians, and even our radiologists – aren’t fully aware…

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How credentialing processes must evolve in the age of telemedicine

  Hospitals and clinics are integrating more tele-services into their everyday protocols as the telemedicine model continues to demonstrate the potential for them to deliver better, more cost-effective care. However, while new protocols for providing quality care are rapidly evolving, many organizations continue to follow internal credentialing bylaws and standards developed to support a dated…

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Want to get paid under AUC? A qualified CDSM may be your best insurance.

  Effective collaboration with your referring physicians can make the difference between getting paid or not getting paid. Cooperation between referring and ordering professionals becomes increasingly important with the approaching implementation date for the Protecting Access to Medicare Act, on January 1, 2020. Radiology groups that proactively align with hospitals and referring clinicians to jointly…

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Three Recommendations When Weighing 2018 MIPS Participation

  With the transition from year one to year two in the Merit-based Incentive Payment System (MIPS), there are several noteworthy changes to the program: MIPS: Comparing CY 2017 to CY 2018 POLICY TOPIC TRANSITION YEAR 1 (Final Rule CY 2017) YEAR 2 (Final Rule CY 2018) Exemption for Newly-enrolled in Medicare  • Clinicians enrolled…

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