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A Case
Study On
Radiology
Billing
INTRODUCTION
❏ Billing for radiology correctly requires more than
just keeping track of money.
❏ It is a multi-phase process that necessitates
persistently calculating money on each step.
❏ Throughout the expanding process, one needs to
be tenacious and proactive to ensure collection of
every cent which is due.
● Radiologists at a medical setting in Ohio called Medisys Data Solutions into
practice because they thought something wasn’t right. They employed a
seasoned practice manager who had been with them when their firm
commenced a new journey. The practice manager showed very less enthusiasm
in taking on any billing responsibilities which kept piling up on the desks.
● The practice manager was operating a one-man internal billing department,
which made things more difficult in this situation. At Medisys Data Solutions,
we immediately noticed that all three of the aforementioned scenarios were
taking place.
Unique Challenges—Management and Personnel
https://www.medisysdata.com/services/medical-billing-services
We found that in order to hide the significant amounts of money being lost, their
billing software was configured to calculate write-offs as contractual adjustments.
Other errors and inefficiencies were as follows:
● Payment postings were not balanced
● Posting partial entries
● Stacks of paper checks from previous months were piling up on the desks
● Around 6 months’ worth of pending charges
● All payments were made on paper with zero track of computerized
transactions
● The billing team did not follow up with the address denials
Analysis and Audit
https://www.medisysdata.com/services/medical-billing-services
1. Our initial suggestion was to start outsourcing billing operations right away because
of the practice’s serious personnel and management issues. The fact that the
practice was still unaware of the scope and gravity of their billing issues contributed
to the resistance to this notion. As a result, we got qualified managers who were
familiar with the current billing system.
2. Most billing companies would throw up their hands in the air and think their options
were limited if the main recommendations were rejected. The Medisys Data
Solutions team worked numerous hours and through the night over the course of the
following six months to restore some normalcy to our client’s invoicing system at
Ohio.
Recommendations and Solutions
https://www.medisysdata.com/services/medical-billing-services
1. Comparatively speaking, internal billing is not more economical than outsourcing. A
healthcare practitioner can monitor the billing process and adjust it appropriately for
increased productivity with an in-house billing practice. However, if you perform in-
house billing, you must ensure that every member of your staff has the knowledge and
skills necessary to deal with patients’ questions, handle claims, administer the process,
and manage the RCM independently. It is undoubtedly difficult for anyone to handle
patients’ claims while still concentrating on their patient care.
2. Most professionals choose outsourcing at this point because they realize that by doing
so, they will have more time for their primary practices and may delegate the processing
of insurance-related tasks to a reputable medical billing business.
Results
https://www.medisysdata.com/services/medical-billing-services
What came next was a series of modest but effective measures to do away with
inefficiencies. Let’s glance through them, shall we?
1. Scanning and properly archiving all supporting files
2. Payment reconciliation before posting
3. Processing reimbursements after evaluating them
4. Updating hospital admissions made while the billing system was in chaos,
along with charges and payments
5. Using trained coders for coding tasks and implementing PQRS
Effective Measures
https://www.medisysdata.com/services/medical-billing-services
1. It is time to know the income cycle of your radiology practice like
never before.
2. You can choose the level of support your office needs from our range
of medical billing services for radiology practices, whether you need
assistance regularly, occasionally, or occasionally.
3. We are familiar with your industry and are aware of the steps
necessary to restore your revenue health and provide you peace of
mind.
A Case Study On Radiology Billing
https://www.medisysdata.com/services/medical-billing-services
Conclusions:
● We are a market leader when it comes to offering clients
medical billing and coding services .
● To completely comprehend our clients’ billing concerns, we
work directly with them.
● At Medisys Data Solutions, we provide quick and affordable
solutions that give our clients a competitive edge in their
industry.
● Our skilled professionals have a wealth of expertise obtaining
the highest settlement for your customers.
● All you need to do is get in touch with us! Sounds super easy?
You should try a shot working with us and easy will be the word
you will use a lot! Let’s work this out, shall we?
About Us
Medisys Data Solutions is a leading medical billing company providing
complete assistance in medical billing and coding. We can assist you in
receiving accurate insurance reimbursement from private and government
payers. With our services like benefits verification and credentialing &
enrollment, you can add more providers in your practice. To know more
about our specialty specific medical billing and coding services, contact
us at info@medisysdata.com/ 302-261-9187.
GET IN TOUCH
302-261-9187
Address:
Medisys Data SolutionsInc.
8 The Green STE A, Dover, Delaware 19901,USA
Email:info@medisysdata.com
CREDITS: This presentation template was created by
Slidesgo, including icons by Flaticon, and infographics
& images by Freepik.
Thanks
Do you have any questions?
info@medisysdata.com
302-261-9187
medisysdata.com

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A Case Study On Radiology Billing

  • 2. INTRODUCTION ❏ Billing for radiology correctly requires more than just keeping track of money. ❏ It is a multi-phase process that necessitates persistently calculating money on each step. ❏ Throughout the expanding process, one needs to be tenacious and proactive to ensure collection of every cent which is due.
  • 3. ● Radiologists at a medical setting in Ohio called Medisys Data Solutions into practice because they thought something wasn’t right. They employed a seasoned practice manager who had been with them when their firm commenced a new journey. The practice manager showed very less enthusiasm in taking on any billing responsibilities which kept piling up on the desks. ● The practice manager was operating a one-man internal billing department, which made things more difficult in this situation. At Medisys Data Solutions, we immediately noticed that all three of the aforementioned scenarios were taking place. Unique Challenges—Management and Personnel https://www.medisysdata.com/services/medical-billing-services
  • 4. We found that in order to hide the significant amounts of money being lost, their billing software was configured to calculate write-offs as contractual adjustments. Other errors and inefficiencies were as follows: ● Payment postings were not balanced ● Posting partial entries ● Stacks of paper checks from previous months were piling up on the desks ● Around 6 months’ worth of pending charges ● All payments were made on paper with zero track of computerized transactions ● The billing team did not follow up with the address denials Analysis and Audit https://www.medisysdata.com/services/medical-billing-services
  • 5. 1. Our initial suggestion was to start outsourcing billing operations right away because of the practice’s serious personnel and management issues. The fact that the practice was still unaware of the scope and gravity of their billing issues contributed to the resistance to this notion. As a result, we got qualified managers who were familiar with the current billing system. 2. Most billing companies would throw up their hands in the air and think their options were limited if the main recommendations were rejected. The Medisys Data Solutions team worked numerous hours and through the night over the course of the following six months to restore some normalcy to our client’s invoicing system at Ohio. Recommendations and Solutions https://www.medisysdata.com/services/medical-billing-services
  • 6. 1. Comparatively speaking, internal billing is not more economical than outsourcing. A healthcare practitioner can monitor the billing process and adjust it appropriately for increased productivity with an in-house billing practice. However, if you perform in- house billing, you must ensure that every member of your staff has the knowledge and skills necessary to deal with patients’ questions, handle claims, administer the process, and manage the RCM independently. It is undoubtedly difficult for anyone to handle patients’ claims while still concentrating on their patient care. 2. Most professionals choose outsourcing at this point because they realize that by doing so, they will have more time for their primary practices and may delegate the processing of insurance-related tasks to a reputable medical billing business. Results https://www.medisysdata.com/services/medical-billing-services
  • 7. What came next was a series of modest but effective measures to do away with inefficiencies. Let’s glance through them, shall we? 1. Scanning and properly archiving all supporting files 2. Payment reconciliation before posting 3. Processing reimbursements after evaluating them 4. Updating hospital admissions made while the billing system was in chaos, along with charges and payments 5. Using trained coders for coding tasks and implementing PQRS Effective Measures https://www.medisysdata.com/services/medical-billing-services
  • 8. 1. It is time to know the income cycle of your radiology practice like never before. 2. You can choose the level of support your office needs from our range of medical billing services for radiology practices, whether you need assistance regularly, occasionally, or occasionally. 3. We are familiar with your industry and are aware of the steps necessary to restore your revenue health and provide you peace of mind. A Case Study On Radiology Billing https://www.medisysdata.com/services/medical-billing-services
  • 9. Conclusions: ● We are a market leader when it comes to offering clients medical billing and coding services . ● To completely comprehend our clients’ billing concerns, we work directly with them. ● At Medisys Data Solutions, we provide quick and affordable solutions that give our clients a competitive edge in their industry. ● Our skilled professionals have a wealth of expertise obtaining the highest settlement for your customers. ● All you need to do is get in touch with us! Sounds super easy? You should try a shot working with us and easy will be the word you will use a lot! Let’s work this out, shall we?
  • 10. About Us Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding. We can assist you in receiving accurate insurance reimbursement from private and government payers. With our services like benefits verification and credentialing & enrollment, you can add more providers in your practice. To know more about our specialty specific medical billing and coding services, contact us at info@medisysdata.com/ 302-261-9187. GET IN TOUCH 302-261-9187 Address: Medisys Data SolutionsInc. 8 The Green STE A, Dover, Delaware 19901,USA Email:info@medisysdata.com
  • 11. CREDITS: This presentation template was created by Slidesgo, including icons by Flaticon, and infographics & images by Freepik. Thanks Do you have any questions? info@medisysdata.com 302-261-9187 medisysdata.com