You are here

August/September 2014

By: Julie Ritzer Ross

In the billing office of a radiology practice, an employee reviews a remittance just received from a payor. Noticing that something looks different, she questions her colleague, who informs her that instead of collecting fees for individual imaging services rendered, the practice is now operating under a per-member, per-month capitated arrangement with that payor.

The leader of a hospital-based practice discusses with a payor representative the option of negotiating a withhold to be paid upon meeting utilization thresholds. The agreement absolves the practice and its referring physicians from having to jump through radiology benefits management (RBM) hoops.

Such scenarios have become reality as private radiology practices and hospital radiology departments alike gravitate...

Editorial
By: Cheryl Proval
Enough talk about it, just do it
Departments
By: Joseph Dobrian
Will Latham, principal of Latham Consulting Group (Charlotte, NC), is in the business of helping medical groups make decisions and resolve conflicts—which means teaching the art of negotiation. 
Features
By: Joseph A. Serio, FRMBA, FACMPE, CPA, MBA
A private practice in Alabama invests in IT and relationships in advance of participating in a Medicaid regional-care organization.
Departments
By: Joseph Dobrian
Almost all businesses have to re-examine and renovate their business model from time to time, and healthcare providers are no exception.
Features
By: Rich Smith
Propelled by everything from regulatory requirements to patient centricity, all roads point toward direct communications with patients by radiologists.
Departments
By: Cheryl Proval
After a false start or two, CMS has set a final ICD-10 implementation deadline for October 1, 2015, as widely expected. 
Features
By: Cheryl Proval
Reimbursement cuts are being met by cost-cutting initiatives in a still-fragmented outpatient imaging-center market.
How Rad Groups are Joining Forces to Fortify Business: By collaborating instead of competing, radiology groups can leverage the power of their combined resources and data to speak...
Departments
By: Saurabh Jha, MBBS, MRCS
A radiologist considers the disconnect between evidence-based medicine and the courtroom.