Radiology

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.

Claims management is essential to patient care. If a facility is not properly reimbursed for medical services rendered, patient care will ultimately be compromised.

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. 

With the transition from year one (2017) to year two (2018) in the Merit-based Incentive Payment System (MIPS), there are several noteworthy changes to the program: