Practice Management

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  • 1.  Determination of Pay-Per-Click Rate

    Posted 03-03-2022 22:47
    Good evening RBMA Practice Management Community!

    TIPC does not compensate radiologists by "pay-per-click" but we are considering bonusing practitioners for a short period of time on a pay-per-click basis for the following studies:  MSK CT/MR and Lung Nodule CTs.

    Question: 
    • If you "pay-per-click" how did you determine your pay-per-click rate and how do you track this activity for accounting purposes?  Do you base your pay-per-click rate on average reimbursement per CPT code, modality or some other formula?

    Finally, if you feel comfortable sharing your pay-for-click rates for the above studies we would be grateful!

    Thanks very much, 
    Colleen

    ------------------------------
    Colleen Riley
    Executive Director
    Tualatin Imaging, PC
    Tualatin OR
    (503) 692-5737
    ------------------------------


  • 2.  RE: Determination of Pay-Per-Click Rate

    Posted 03-04-2022 08:52
    Why the change?
    Why for only a short period of time?
    Why only those exams?

    Can keep track by CPT code from your billing company or your voice recognition company.
    Pay via avg reimbursement by modality or Medicare allowable by CPT code.



    Dennis Wiseman
    Chief Executive Officer
    Radiology & Imaging of South Texas
    3226 S. Alameda Street
    Corpus Christi, TX 78404

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    Original Message


  • 3.  RE: Determination of Pay-Per-Click Rate

    Posted 03-04-2022 09:03

    Thank you Matt

     




    Original Message


  • 4.  RE: Determination of Pay-Per-Click Rate

    Posted 03-04-2022 10:03
    Colleen

    We have been paying our radiologists per click rates for weekend outpatient CT and MR studies for the past few years in order to alleviate the number of people on call, to help the people on call and to help people earn extra income. Our rates per click are as follows 

    CT Chest/Abdomen/Pelvis       $170
    CT Chest                                   $85
    Ct Abdomen/Pelvis                    $85
    CT Chest/Abdomen                   $85
    CT Neck                                     $85
    CT Sinuses                                 $85

    All other CTs                                $60

    All MRI                                       $85

    If you would like to talk off line feel free to contact me


    ------------------------------
    Anthony Hanula MBA
    Business Manager
    Radiologic Consultants Ltd.
    Greensburg PA
    (724) 832-8004
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    Original Message


  • 5.  RE: Determination of Pay-Per-Click Rate

    Posted 03-04-2022 20:35
    Hi Colleen -   yes we have a case rate model.   

    • CT Lungs - we assume 4 cases can be read/hour
    • Advanced imaging (CT/MR)  - we assume 3 cases/hour and use honor system so no one abuses and pulls the 5 min cases vs. the CT oncology multi body part cases. 
    We also use an after hours read model, where if the rad on call is faced with a huge onslaught of ED cases and gets behind, they can press an Alert that pages out for help.  Rads that respond to that afterhours are paid at 130% of the collection rate for ED cases.  (We calculate this once every 2 years by CPT). 

    All of this is to load balance. We can schedule 60 CT lungs on a weekend, and NO one will sign up to read all those cases.  But rads will sign up for 10-12 and they can read any time within 3 days to get completed.  I understand these are mind-numbing reads. 

    Good luck

    ------------------------------
    Beth Williams MHA, FACMPE, FRBMA
    Executive Director
    Vantage Radiology and Diagnostic Services
    Federal Way WA
    (253) 661-1700 ext. 1105
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    Original Message


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