{"id":2073,"date":"2013-04-16T06:20:05","date_gmt":"2013-04-16T06:20:05","guid":{"rendered":"http:\/\/www.medicalbillersandcodersblog.com\/?p=2073"},"modified":"2025-05-21T14:02:46","modified_gmt":"2025-05-21T14:02:46","slug":"inevitability-of-the-electronic-radiology-practice-and-its-effect-on-radiology-billing","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/inevitability-of-the-electronic-radiology-practice-and-its-effect-on-radiology-billing\/","title":{"rendered":"Inevitability of the Electronic Radiology Practice and Its Effect on Radiology Billing"},"content":{"rendered":"<p style=\"text-align: justify;\">The advent of digital technology has been quite a boon to healthcare industry, more so to radiology, whose role in clinical diagnosis and planning the right course of medical intervention continues to be more critical than ever before.<\/p>\n<p style=\"text-align: justify;\">Physicians and patients\u2019 reliance on digital or electronic radiology interpretation is so much that it is virtually impossible to practice radiology without a full-pledged digital or electronic radiology infrastructure.<\/p>\n<p style=\"text-align: justify;\">As a result, PACS and other web-based technology have become indispensable part of every radiology practice. While electronic radiology medium considerably reduces turnaround time and greatly enhances quality of image interpretation, radiologists may have to find ways to deal with its impact on Radiology Billing on account of:<\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"text-align: justify;\">Rules governing billing of electronic radiology services,<\/li>\n<li style=\"text-align: justify;\">Complexities involved in billing, coding, and realization of radiology claims, and<\/li>\n<li style=\"text-align: justify;\">Voluminous increase in electronic radiology cases.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">In view of these intervening factors, electronic radiology practices may well have to devise billing system that is web-enabled, allowing them to print statements, view accounts and even view radiology transcription reports on-line. Moreover, they would need to get their billing system, custom-designed to have full access to every component of billing data.<\/p>\n<p style=\"text-align: justify;\">Within this broader operational frame-work, they should have a team of coders, A\/R managers, accountants, radiology practice managers, and data processors to work collectively to ensure that each charge is captured and billed accurately and on-time.<\/p>\n<p style=\"text-align: justify;\">These staff should be encouraged to monitor and update collection protocols to keep pace with the shifting regulatory conditions. While contract negotiations remain a paramount concern, it is imperative that your billing is complete with:<\/p>\n<table border=\"1\" width=\"90%\" cellspacing=\"0\" cellpadding=\"2\" align=\"center\" bgcolor=\"#D5EBD3\">\n<tbody>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Best practices related to procedural codes, including HCPCS and modifiers, to ensure that you are coding for the highest revenue.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Understanding of payer rules, including medical necessity and NCCI rules, to help minimize chances of an audit.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Sophisticated medical billing system\/electronic health record with advanced claim scrubbing capability<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Facility for submitting both UB04 and CMS-1500 claims.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Facility to follow on denials or delinquent claims<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\"><strong>The benefits of having such a well-rounded Medical Billing system is that it<\/strong><\/p>\n<table border=\"1\" width=\"90%\" cellspacing=\"0\" cellpadding=\"2\" align=\"center\" bgcolor=\"#D5EBD3\">\n<tbody>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Can enable HIPAA compliant clinical and operational practices<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Generates monthly reports specific to radiologists\u2019 needs<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Helps retrieve the required reports and demographic data computer system.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Enables electronic billing to Medicare or commercial radiology insurance payers<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Can confirm receipt of all electronic claims and produce error reports to identify claims that are incomplete<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Can correct claims immediately and resubmits them for processing.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">Facilitates scanning all demographic data, charge and payment data and other correspondence into the system to help in efficient follow up, thereby creating a paperless system.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<ul style=\"padding: 0px; margin: 0px 5px 0px 20px;\">\n<li style=\"text-align: justify;\">And more importantly, helps in implementing strong denial management systems to resolve the pending claims.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\">While it may seem a daunting task to have such a comprehensive billing mechanism in place to counter the demands of billing electronic Radiology Services, outsourcing should make it a lot easier.<\/p>\n<p style=\"text-align: justify;\">And, when it comes to outsourcing medical billing and allied services, <strong>Medical Billers and Coders<\/strong> has stood out to be a reliable platform for sourcing competent and <a href=\"https:\/\/www.medicalbillersandcoders.com\/medical-billing-services.aspx\">experienced billing professionals<\/a>.<\/p>\n<p style=\"text-align: justify;\">With a nation-wide affiliation with radiology billers, we look forward to arm radiology practices across the 50 states in the U.S. with exemplary <a href=\"https:\/\/www.medicalbillersandcoders.com\/speciality\/radiology-medical-billing-services.html\">radiology billing solutions<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The advent of digital technology has been quite a boon to healthcare industry, more so to radiology, whose role in clinical diagnosis and planning the right course of medical intervention continues to be more critical than ever before. Physicians and patients\u2019 reliance on digital or electronic radiology interpretation is so much that it is virtually [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[184],"tags":[15,20,12,183,185,400],"class_list":["post-2073","post","type-post","status-publish","format-standard","hentry","category-radiology-billing-services","tag-medical-billing","tag-medical-billing-and-coding","tag-medical-billing-services-2","tag-radiology-billing-2","tag-radiology-billing-services","tag-radiology-medical-billing-services"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Inevitability of the Electronic Radiology Practice and Its Effect on Radiology Billing - Medical Billing and RCM Blogs<\/title>\n<meta name=\"description\" content=\"Learn about Inevitability of the Electronic Radiology Practice and Its Effect on Radiology Billing in our latest blog post. 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