Practice Management

 View Only
Expand all | Collapse all

IR PA's E&M billing and PA salaries

  • 1.  IR PA's E&M billing and PA salaries

    Posted 07-14-2021 09:11
    Hi All, I am looking for some feedback on several items:

    1. Does anyone have experience optimizing E&M billing for an IR PA? We are looking to expand in this area and trying to figure out resources to assist with this.
    2. What are you seeing for current IR PA salaries and benefits packages? Here is ours below if helpful to anyone.  We are not covering our costs hence the #1 question above. PTO 4 weeks. CME up to $3k a year. 
    Expenses  
      Salary  $  120,000
      Bonus  $      7,500
      Benefits  
      Health  $    18,768
      Dental  $      1,236
      Vision  $          108
      LTD  $               -
      Life  $               -
      Retirement  $    12,750
      Malpractice  $          994
      Total Benefits  $    33,856
      Total expenses  $  195,212



    ------------------------------
    Christin Crosby, CPA
    COO/CFO South Hub Radiology
    Chicago, IL
    christin.crosby@changehealthcare.com
    616-889-1381
    ------------------------------


  • 2.  RE: IR PA's E&M billing and PA salaries

    Posted 07-14-2021 09:18
    You forgot your employer taxes on your list.


    --
    James E. Hamilton, MHA, FRBMA
    CEO
    Radiology Physicians, Inc.
    937-626-3043 Cell
    937-709-5050  FAX    







  • 3.  RE: IR PA's E&M billing and PA salaries

    Posted 07-15-2021 09:08

    Health/Dental/Vision/Retirement/Malpractice   = $  33,856.00

    Salary                                                                                    = $120,000.00

    Bonus                                                                                   = $    7,500.00

    Employer tax (min 7% of gross)                                  = $    8,925.00

     

    TOTAL                                                                                   = $170,281.00

     

    I think you added the line items and added total benefits 2x.

     

    Your PTO and CME is on par.

    Are they paying a portion of their benefits (Health/Dental/Vision only)?
    Retirement generally starts Jan 1 or July 1 depending on hire date.

    DENNIS WISEMAN

    Chief Executive Officer

    Radiology & Imaging of South Texas

    3226 S. Alameda Street

    Corpus Christi, TX 78404

    (O) 361-888-6684 ext. 2046

    (F) 361-853-4454

    (C) 786-223-2671

     

    logo

     

    "PRIVILEGED AND CONFIDENTIAL:  This document and the information contained herein are confidential and protected from disclosure pursuant to federal law.  This message is intended only for the use of the Addressee(s) and may contain information that is PRIVILEGED and CONFIDENTIAL. If you are not the intended recipient, you are hereby notified that the use, dissemination, or copying of this information is strictly prohibited.  If you have received this communication in error, please erase all copies of the message and its attachments and notify the sender immediately."

     






  • 4.  RE: IR PA's E&M billing and PA salaries

    Posted 07-16-2021 13:30
    HI Dennis, we pay the full premium for health, dental and vision.  Yes our retirement plan has dual entry dates as you noted.

    ------------------------------
    Christin Crosby, CPA
    COO/CFO South Hub Radiology
    Chicago, IL
    christin.crosby@changehealthcare.com
    616-889-1381
    ------------------------------



  • 5.  RE: IR PA's E&M billing and PA salaries

    Posted 07-16-2021 13:29
    HI James, i do have them included just didn't show it. Thanks!

    ------------------------------
    Christin Crosby, CPA
    COO/CFO South Hub Radiology
    Chicago, IL
    christin.crosby@changehealthcare.com
    616-889-1381
    ------------------------------



  • 6.  RE: IR PA's E&M billing and PA salaries

    Posted 07-15-2021 09:08

    Can they do Paracentesis, Thoracentesis, Fluoro coverage?

    This could add to the revenue generated other than just E&M.

    Also – outweigh the cost associated with the PA doing the E&M, where the IR doctor is doing more lucrative cases (either in IR or Dx).

     

    DENNIS WISEMAN

    Chief Executive Officer

    Radiology & Imaging of South Texas

    3226 S. Alameda Street

    Corpus Christi, TX 78404

    (O) 361-888-6684 ext. 2046

    (F) 361-853-4454

    (C) 786-223-2671

     

    logo

     

    "PRIVILEGED AND CONFIDENTIAL:  This document and the information contained herein are confidential and protected from disclosure pursuant to federal law.  This message is intended only for the use of the Addressee(s) and may contain information that is PRIVILEGED and CONFIDENTIAL. If you are not the intended recipient, you are hereby notified that the use, dissemination, or copying of this information is strictly prohibited.  If you have received this communication in error, please erase all copies of the message and its attachments and notify the sender immediately."

     






  • 7.  RE: IR PA's E&M billing and PA salaries

    Posted 07-16-2021 12:54
    We use RA's.  Their names don't appear on any reports or charges.  Mainly running the fluro camera and pre-dictating reports.  Therefore, I can't point to any specific revenue they generate.

    Our thinking is along the lines of Dennis's comments.  We look towards the increased productivity allowed a procedure rad.  Rather than getting up and down to go run the fluro camera, a procedure rad can stay seated and read off their monitors.  And we're only needing one additional hour of rad productivity each day to breakeven on an RA.  

    Good luck.....Chris

    ------------------------------
    R. Christopher Sluder CPA
    Administrator
    Rome Radiology Group
    Rome GA
    (706) 291-2661
    ------------------------------



  • 8.  RE: IR PA's E&M billing and PA salaries

    Posted 07-16-2021 13:32
    Thanks!  We were attempting to get an RA on board and set up to do fluoro but our billing company said we couldn't bill for work done by an RA so that idea went to the wayside.  Have you heard of this?

    ------------------------------
    Christin Crosby, CPA
    COO/CFO South Hub Radiology
    Chicago, IL
    christin.crosby@changehealthcare.com
    616-889-1381
    ------------------------------



  • 9.  RE: IR PA's E&M billing and PA salaries

    Posted 07-16-2021 14:17
    That's correct.  RA's can't bill in their own names (and of course physicians generally can't bill for work they didn't personally do, except within the context of incident to rules).  As Chris said, their main economic value to a rad group is in freeing the radiologist to do other more productive things.

    PA's and Nurse Practitioners are often great for doing procedures and E&M services because they can bill.  But they usually don't have much training or scope of license with respect to radiation/flouro.


    ------------------------------
    David Smith FACMPE
    Executive Director
    United Imaging Consultants
    Mission KS
    (785) 393-8387
    ------------------------------



  • 10.  RE: IR PA's E&M billing and PA salaries

    Posted 07-16-2021 15:47
    Yes thank you David.

    ------------------------------
    Christin Crosby, CPA
    COO/CFO South Hub Radiology
    Chicago, IL
    christin.crosby@changehealthcare.com
    616-889-1381
    ------------------------------



  • 11.  RE: IR PA's E&M billing and PA salaries

    Posted 07-18-2021 12:51
    On fluoro, the RA is there for the TC side on Medical Part B.  Look at the Physician Supervision of Diagnostic Procedures field.  A 3 may allow an RA to cover the exam.  Also, check your state laws.  RA's are recognized in 31 states.  RA's can't do anything on the 26 side of exams.  In the case of BE, the RA can be there for the 74270-TC, but the rad is there for the 74270-26.

    Only a rad will review images and dictate their impressions.  My comments above on pre-dictation were in regards to data/measurement entry.  This is the only thing RA's place into a report.  Because RA's don't dictate reports (impressions and signature) our billing data will never have anything containing an RA's name.  Therefore, we can't point directly to any revenue generated by an RA.  Justification for an RA has to been seen in additional productivity of the rads.  That's the only way I've found to cost justify their use.

    ------------------------------
    R. Christopher Sluder CPA
    Administrator
    Rome Radiology Group
    Rome GA
    (706) 291-2661
    ------------------------------



  • 12.  RE: IR PA's E&M billing and PA salaries

    Posted 07-18-2021 13:30

    We have used IR NP and PAs for more than a decade. It augments IR labor and is break even if a really fast PA. It helps IR practice at top of license. I always build in at least 90 days of no revenue for them as the training and proctoring time is lengthy before they can practice solo.  Membership in SIR beneficial for CME.  Also as David said, you have to develop the fluoro and US training tools.  


    We find that PAs have more clinical time in their training usually and are faster to get to solo practice than NP. We also find that PA or NP with surgical background are more likely to find job satisfaction as they prefer procedures to long term relationship with patient. 

    Good luck 



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



  • 13.  RE: IR PA's E&M billing and PA salaries

    Posted 06-17-2023 12:25

    Hi Beth - Pulling salary data together for our NP's as well as performance evaluations tied to annual salary increases.  I know this post is old but I see you've used NP's for quite some time in your practice and I have a few questions if you wouldn't mind to speak offline?

    Thank you,

    Jennifer



    ------------------------------
    Jennifer Small, BS, RT, (R)
    Chief Operating Officer
    Evansville Radiology, P.C
    Evansville, IN
    812-422-3254
    ------------------------------