Practice Management

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  • 1.  Reimbursement for after hours

    Posted 06-15-2018 16:42

    Hello everyone,

     

                    I have a question from one of my Radiologists regarding reimbursement for after hours.

     

    Here is the question below.

     

    Some groups track after hour radiologist reads and pay them according to RVUs.

     

    Do you know of a tool we could use to tally the after hour read RVUs for individual radiologists?

     

    Plus are many groups reimbursing this way or are you using something else.

     

    Any suggestions would be appreciated,

    Donna

     

     

    Donna Russo, CPC |  Client Manager

    Direct 860-925-6482   |  cell 860-937-3033  | fax 860-925-6358 l main 860-688-0033

    1095 Day Hill Road; PO Box 101  |Windsor, CT  |  06095    

    Donna.Russo@M3Meridian.com  |  LinkedIn  |  Insights Blog

     

    This email may contain confidential or proprietary material including Protected Health Information for the sole use of the intended recipient. Any review, use, duplication, distribution or disclosure by others is strictly prohibited by applicable law. If you are not the intended recipient, please contact the sender by reply email and delete all copies of this message.

     



  • 2.  RE: Reimbursement for after hours

    Posted 06-16-2018 08:32
    Donna,
    Our group created a fee schedule for after hour reads like the one with a night service. They list the cases they read on form we created and turn it in to me.Some email it some fax it. I calculate the the total and pay them at the end of the month. We just reviewed the fee schedule and updated this week after about 3 years paying he same fee.

    --
    James Hamilton MHA, FRBMA, CMM
    Chief Administrative Officer
    Medical Imaging Physician, Inc.
    2591 Miamisburg Centerville Rd. Suite  302
    Dayton, Ohio 45459
    937-433-7622 x 108
    937-626-3043 cell
    jhamilton@mipimaging.com


    Confidentiality Notice: This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original message.







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  • 3.  RE: Reimbursement for after hours

    Posted 06-16-2018 10:04
    Donna- we do something similar to Jim's practice. The on-call radiologists have an "I need help" button on their desktops. If the volumes get too high, the radiologist presses that alert and radiologists who have volunteered for a coverage pool get a text.  If they are able, they login and help with the work list.   The practice reimburses them at 80% of the average collection rate for those exams.  We use the ED collection rate.  Its been in place for 2-3 years and works well.

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

    Original Message


  • 4.  RE: Reimbursement for after hours

    Posted 06-18-2018 08:52

    Thank you Beth

     

    Donna Russo, CPC |  Client Manager

    Direct 860-925-6482   |  cell 860-937-3033  | fax 860-925-6358 l main 860-688-0033

    1095 Day Hill Road; PO Box 101  |Windsor, CT  |  06095    

    Donna.Russo@M3Meridian.com  |  LinkedIn  |  Insights Blog

     

    This email may contain confidential or proprietary material including Protected Health Information for the sole use of the intended recipient. Any review, use, duplication, distribution or disclosure by others is strictly prohibited by applicable law. If you are not the intended recipient, please contact the sender by reply email and delete all copies of this message.

     




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  • 5.  RE: Reimbursement for after hours

    Posted 06-18-2018 09:03

    Thank you James

     

    Donna Russo, CPC |  Client Manager

    Direct 860-925-6482   |  cell 860-937-3033  | fax 860-925-6358 l main 860-688-0033

    1095 Day Hill Road; PO Box 101  |Windsor, CT  |  06095    

    Donna.Russo@M3Meridian.com  |  LinkedIn  |  Insights Blog

     

    This email may contain confidential or proprietary material including Protected Health Information for the sole use of the intended recipient. Any review, use, duplication, distribution or disclosure by others is strictly prohibited by applicable law. If you are not the intended recipient, please contact the sender by reply email and delete all copies of this message.

     




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  • 6.  RE: Reimbursement for after hours

    Posted 06-18-2018 11:33
    Donna,

    We call it Eat What You Kill (EWYK).  I calculated the average reimbursement per CPT code less the billing fee and about an additional 5% amount.  

    The doctors send me the information  and I pay their EWYK on a one month lag.  After they submit their info, I send them an excel spreadsheet with their particular data.   I update the reimbursement amounts every six months.  
     
    Please contact me via email or at 417-894-0878 if you have any questions. Thanks and have a wonderful day. 

    Jay Smith, CPA, MBA 
    Business Manager
    Litton & Giddings Radiological Associates, P.C. 
    P.O. Box 14049
    Springfield, MO 65814 

    All information contained in this email is confidential (and may include Protected Health Information - PHI), belonging to the sender who is legally and/or medically privileged. The information is intended only for the use of the recipient named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action based on the contents of this email is strictly prohibited. If you have received this email in error, please notify us and destroy the document immediately.



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  • 7.  RE: Reimbursement for after hours

    Posted 06-18-2018 11:44

    Thank you Jay

     

    Donna Russo, CPC |  Client Manager

    Direct 860-925-6482   |  cell 860-937-3033  | fax 860-925-6358 l main 860-688-0033

    1095 Day Hill Road; PO Box 101  |Windsor, CT  |  06095    

    Donna.Russo@M3Meridian.com  |  LinkedIn  |  Insights Blog

     

    This email may contain confidential or proprietary material including Protected Health Information for the sole use of the intended recipient. Any review, use, duplication, distribution or disclosure by others is strictly prohibited by applicable law. If you are not the intended recipient, please contact the sender by reply email and delete all copies of this message.

     




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  • 8.  RE: Reimbursement for after hours

    Posted 06-19-2018 07:37
    Jay,
    How are you tracking this data? Is it through a RIS, pacs, manual?





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  • 9.  RE: Reimbursement for after hours

    Posted 06-19-2018 09:29
    Sheila,

    Unfortunately, it is a manual process.  Each doctor sends me a list from PACS (without any PHI).  It has the DOS, exam name, time read, and sometimes other info (location, referring doctor...).

    I code the exams to the proper CPT and input the data onto a spreadsheet by DOS.  The doctors are paid once a month. 
     
    Please contact me via email or at 417-894-0878 if you have any questions. Thanks and have a wonderful day. 

    Jay Smith, CPA, MBA 
    Business Manager
    Litton & Giddings Radiological Associates, P.C. 
    P.O. Box 14049
    Springfield, MO 65814 

    All information contained in this email is confidential (and may include Protected Health Information - PHI), belonging to the sender who is legally and/or medically privileged. The information is intended only for the use of the recipient named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action based on the contents of this email is strictly prohibited. If you have received this email in error, please notify us and destroy the document immediately.



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