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“In a capitated model, radiology is a cost sink not a revenue generator. This requires us to change our view. Anything we talk about when we design the next-generation PACS has to directly result in measurable improvements in the value proposition, with value defined as quality, efficiency, and safety simultaneously.”
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Radiology relies on referring physicians ordering imaging exams, but it also needs appropriate documentation and coding information to get reimbursed for those exams. That puts it squarely in the best interest of imaging leaders to communicate with their referrers on what they need for precertification or to maximize the likelihood of prompt, accurate reimbursement.
It’s also true that referrers will rely more on information from imaging to meet ICD-10 documentation requirements for diagnoses. That means imaging facilities and their referring centers have a mutual interest in providing the appropriate information needed for creating clean orders and claims. As discussed in this month’s E-News Exclusive, having that discussion now while you’re planning for ICD-10 implementation should help reduce documentation calls, e-mails, and faxes next October.
— Jim Knaub, editor |
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Referrers Are Your ICD-10 Partner
By Jim Knaub
If your imaging facility has difficulty matching documentation now, expect it to be worse when ICD-10 implemenation kicks in on October 1, 2014. That’s what experts are saying—OK, it’s one thing they’re saying—about the oft-delayed transition.
Radiologists and referring physicians, as a result of the implementation, will need to provide each other with more information for accurate billing and coding. It’s both a challenge and an opportunity for imaging facilities. On the radiology side, reports need to include all information that supports the diagnosis codes in a given patient encounter.
Attending physicians will rely on information that radiologists provide to meet ICD-10 documentation requirements for diagnoses, says Cortnie R. Simmons, MHA, RHIA, CCS, CDIP, director of ICD-10 services for Kforce Healthcare Solutions.
Full Story » |
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 Get Connected: A Different Approach to Image Sharing With Outside Referrers
Tuesday, May 21 at 1 PM EDT
This complimentary webinar illustrates how getting connected with outside providers produces greater availability and faster access to medical images. We’ll cover how to replace manual distribution of CDs with easy uploads and direct image transfer and how to enhance the connected relationship by managing requests, providing notifications, and guaranteeing delivery. Plus, learn to enhance your relationship with referring physicians by delivering images with reports to all providers at any location along with real-time collaboration.
To register for this free online education event, click here. |
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