How Radiology Billing Works

Unlock the secrets of radiology billing with this comprehensive guide. In this discussion, we explore the complexities of billing and reimbursement for medical imaging studies.
Unravel the mechanisms behind who pays for imaging studies and explore the dual components of radiology billing: the professional and technical aspects of imaging suites. Gain valuable insights into how pricing can vary significantly by location and learn about the factors that influence these variations.
Delve into the intricacies of RVUs (Relative Value Units), the Resource-Based Relative Value System, DRGs (Diagnosis Related Groups), APCs (Ambulatory Payment Classifications), and the Inpatient and Outpatient Prospective Payment Systems. Understand how these systems impact radiology billing and reimbursement, shaping the financial landscape of medical imaging.
Whether you're a healthcare professional seeking to enhance your understanding of radiology finances or an individual interested in the behind-the-scenes workings of medical billing, this video provides valuable insights and practical knowledge.
Chapters:
00:00 - Introduction
00:11 - Who Directly Pays?
01:41 - Who Funds the Payers?
03:42 - CMS
04:57 - Billing for the Professional & Technical Components
06:15 - Pricing according to Patient Type & Exam Location
07:46 - RVUs / Resource-based Relative Value System (RBRVS)
13:07 - DRGs / Inpatient Prospective Payment System (IPPS)
18:19 - APCs / Outpatient Prospective Payment System (OPPS)
20:32 - Closing
#radiology #radres #medical #medicaleducation #medicalstudents #FOAMrad #FOAMed

[@TheTruthFadeswithTime28]

Thanks for posting. I’m starting a new accounting position at a radiology practice. Very useful Info.

[@thesauce669]

This was incredible. Any book or paper recommendations to learn more?

[@radiologyframeworks]

Thank you! I’ve had a really tough time finding a good book or paper on this topic, and have had to piece things together along the way during my career. That’s why I felt driven to make this particular talk!

[@thesauce669]

@@radiologyframeworks its unfortunate that there is not a resource. This topic is NEVER talked about in residency---you better believe the CPA's and MBA's doling out the physician $$ at hospitals can recite this information.