Practice Management

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  • 1.  Cardiac MRI

    Posted 11-30-2021 17:20
    Groups performing cardiac MRI with a collaboration with the cardiologist-do you engage a primary vs secondary reader on studies?
    Our group is trying to come up with a process...

    Our office will be performing the MRI.  Our rads are working on an agreement that will be a "Collaboration" between a single cardiologist from a local hospital group and our physician group.
    The radiologist and cardiologist will alter from primary reader to secondary reader.  The cardiologist will view images, do the post processing, speak to the techs for questions/protocol, etc.  Then talk with our radiologist, they will discuss/agree/disagree then the cardiologist will make final dictation and note collaborated with radiologist who agreed with interpretation.

    What are offices doing workflow wise?  Are the cardiologist/radiologist each dictating separate reports-if so where, in each of their group's systems or all in the radiology RIS system? I am really struggling on many aspects of this-do we have the cardiologist office credential our location under their TAX ID which would allow for him to read and bill for his "primary reader" studies and in turn allow our radiology group to bill technical component? We would then bill globally for any study our rad is considered the primary reader for. 

    What am I missing?  Is it as complicated as I am making it?  I really am hoping there are other reasonable workflows out there.
    Thanks all!

    Trina

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    Trina Howard RCC, RHIT
    Coding Manager
    Iowa Radiology/Professional Medical Management
    West Des Moines IA
    (515) 226-7428
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  • 2.  RE: Cardiac MRI

    Posted 12-01-2021 13:17

    I've experienced both ways of billing for these studies. Our academic setting which most likely makes it easier than private practices, the rads and cardiologists take turns reading these studies via the provider's scheduling. That way it's taken care of by provider scheduling for reads, they each get their RVUs, billing is simplified, and you don't have all the back and forth. It runs the same way for both adult and peds hospitals on our campus.

     

     

    Thanks,

     

    Beth

     

    Beth Kujawski, R.C.C.

    She/her

    Business Operations Manager

    Department of Radiology

    Children's Hospital Colorado

    720/777-6792

     

     CONFIDENTIALITY NOTICE:  This e-mail, including any attachments, is for the sole use of Childrens Hospital Colorado and the intended recipient(s). It may contain confidential and privileged information or may otherwise be protected by law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachment thereto.



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  • 3.  RE: Cardiac MRI

    Posted 12-01-2021 13:23
    Thanks for your reply Beth. 

    Did your cardiologists interpret the non cardiac structures? Or was there a radiologist that reviewed them-if so how was this documented?

    Trina

    ------------------------------
    Trina Howard RCC, RHIT
    Coding Manager
    Professional Medical Management
    West Des Moines IA
    (515) 226-7428
    ------------------------------

    Original Message


  • 4.  RE: Cardiac MRI

    Posted 12-01-2021 14:11

    Hi Tina,

     

    That was the problem way back when on the adult side that became far too difficult to manage. The cardiologists on the adult side had previously received advanced training at an accredited facility, already reading cardiac nuc med studies, then trained by rads before they were credentialled to read cardiac MRI.

     

    For the peds practice, MRI advanced training is required at an accredited facility, to the tune of about 300 cardiac MRIs are read. Then they read in conjunction with someone for 6 months prior to being allowed to interpret on their own.

     

    Thanks,

     

    Beth

     

    Beth Kujawski, R.C.C.

    She/her

    Business Operations Manager

    Department of Radiology

    Children's Hospital Colorado

    720/777-6792

     

     CONFIDENTIALITY NOTICE:  This e-mail, including any attachments, is for the sole use of Childrens Hospital Colorado and the intended recipient(s). It may contain confidential and privileged information or may otherwise be protected by law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachment thereto.



    Original Message


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