Ajay Dilip Wadgaonkar MD, Presenter: Nothing to Disclose

David M. Yousem MD, Abstract Co-Author: Royalties, Oakstone Publishing, LLC Author with royalties, Reed Elsevier Research Grant, Bayer AG

Few newly practicing radiologists and even fewer radiology trainees receive adequate exposure to the business of radiology, much less the details of radiology reimbursement. However, to remain competitive in a rapidly changing healthcare environment, the modern radiologist must have at least a basic knowledge of the reimbursement process. The aim of this exhibit is to: 1. Discuss ICD-9-CM and CPT coding 2. Describe the resource-based relative value scale and its elements, including the technical and professional components of payment 3. Introduce the revenue cycle and accounts receivable 4. Describe current and future challenges shaping radiology reimbursement, including the Affordable Care Act and capitation 

1. ICD-9-CM and CPT coding 2. The resource-based relative value scale      a. Fee-for-service model and RVUs      b. Global payment equation and RVU conversion factor      c. Professional component: physician work, practice expense, malpractice expense      d. Technical component 3. Radiology revenue cycle      a. Preauthorization      b. Accounts receivable           i. Time delays in payment           ii. Charges to payment ratios and industry norms 4. Current and future challenges impacting radiology reimbursement      a. The Affordable Care Act      b. Capitation model 5. Quiz slides reinforcing key exhibit concepts

http://abstract.rsna.org/uploads/2014/14009668/14009668_am5p.pdf

Wadgaonkar, A, Yousem, D, Radiology Reimbursement Decoded: What you Need to Know but Were Afraid to Ask.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14009668.html