Case Study: Radiology Associates Help Improve Breast Cancer Care and Compliance
Background
Radiology Associates (RASLO) provides full-spectrum imaging and interventional radiology...
Table of Contents
Background
Radiology Associates of North Texas (RANT) is one of the largest private radiology practices in the United States. RANT has served the North Texas medical community for over 85 years, providing exclusive radiology coverage at more than 50 hospitals and 30 outpatient imaging centers. The practice employs 215 MD/DOs and more than 20 PAs.
The Question
How can we improve capture of Evaluation and Management (E&M) services to increase revenue?
The Solution
Quinsite’s Comprehensive Healthcare Analytics Platform integrates valuable data from numerous operational systems to generate a holistic view of your entire practice. Quinsite’s suite of dynamic and timely solutions help drive measurable change across all functions.
Real Results: Maximizing Revenue for Pre/Post Interventional Radiology Procedures
In 2021, Medicare increased reimbursements for E&M services, such as pre/post procedure patient evaluation and education. Historically, RANT manually tracked E&M time associated with the interventional radiology services it provides for 28 locations. The Medicare reimbursement changes prompted RANT to reevaluate their E&M coding, tracking and billing processes. As a result, they discovered a potential loss of $90 - $120 per E&M service due to inadequate tracking.
In an effort to maximize revenue for services provided pre/post interventional radiology procedures, RANT turned to Quinsite for help. The Quinsite team developed a mobile solution that streamlines the capture of E&M details and communication with billing workflows and the practice's revenue cycle analytics software to ensure proper reimbursement.
In just a few months of using Quinsite’s E&M solution, Dave Walker, Senior Director of Revenue Cycle, estimates RANT is realizing more than $100,000 in increased E&M revenue annually, and expects that number to grow as provider adoption improves.
“In addition to ensuring that we capture E&M visits correctly, we simply no longer wanted to buy into the idea that we must lose money on mid-level practitioners in exchange for the efficiencies gained by using them in these interventional roles. Just as importantly, gaining access to these E&M insights, coupled with the data we already track with procedure volumes, creates a more complete picture for each facility and allows us to make informed decisions about resource allocation for each of those.”
