Advancing the Business of Radiology
The leading professional organization for radiology business management professionals in any radiology setting.
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Welcome, Leaders!

As a practice leader, you have come to the right place for radiology business professionals who are dedicated to supporting and enhancing their vocation, investing in their career and pursuing higher goals. You have the respect of your physicians to help guide, develop and maintain a practice/department and you strive to advance the profession and improve the business of healthcare.

RBMA is the place to turn for inspiration, resources and practical tools you can’t find anywhere else.

Leaders
“The RBMA provides critical information through expertise and dedication to the field of radiology business. Being a member of RBMA as an administrator has provided me with the most up to date information and networking opportunities to assist me in performing at the highest level.”

More Resources For Practice Leaders:

Resources For Leaders

Register now for DataMAXX for reliable and immediate data to make the right operational decisions, optimize resources, continuously improve performance and develop a strategy for the future

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Welcome, Radiology Business Managers!

As a manager you have come to the right place for information and resources that will assist you in coding properly and obtaining the best possible reimbursement for your practice.

RBMA connects radiology business managers with resources and practical tools to help you succeed.

Manager
“I have been in the radiology business for 34 years and have seen many changes. One of the best changes is how the RBMA has grown and provides us with the necessary tools that we need in order to help us continue on this rocky road.”

More Resources For Managers:

Conference Audio Recording

Articles

Resources For Managers

DataMAXX

RBMA U

Enroll in RBMA U’s Radiology Business 101 – an overview program covering the basics of radiology business as defined under the RBMA Common Body of Knowledge.

DataMAXX

DataMAXX

RBMA’s innovative new practice analytic solution that takes benchmarking to new levels through the combination of your practice’s information and state-of-the art technology and data query protocols.

 

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Welcome, Coders!

As a coder, you have come to the right place for for information and resources that will assist you in coding properly and obtaining the best possible reimbursement for your practice.

RBMA connects coders with resources and practical tools to help you succeed.

“RBMA membership offerings, either the list serve or conference attendance, has provided up to date trends in coding, payor policy and practice management issues. The topics discussed through the list serve either coding or practice management has helped my practice be proactive.”

More Resources For Practice Coders:

Resources For Coders

Ladies

Prepare for tomorrow. Order your ICD-10-CM Toolkit today.
The IDC-10-CM Toolkit designed by Coding Strategies (CSI) and Radiology Business Management Association (RBMA) gives the busy radiology administrator all of the tools needed to prepare the practice for the implementation of ICD-10.

Libman Education
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Welcome, Marketers!

As a marketer, you have come to the right place for information on the state of imaging today and how to effectively market your radiology practice by incorporating tools and strategies including social media and today’s technological innovations.

RBMA is the place to turn for inspiration, resources and practical tools you can’t find anywhere else.

“The RBMA Marketing Conference is a great way to network with colleagues from around the country to gain different ideas and perspectives without the threat of direct competition.”

More Resources For Practice Marketers:

Order your Marketing Toolkit today.

A toolkit designed specifically for radiology marketing, includes samples forms and ideas.

Click here to preview Table of Contents.

Resources For Marketers

5 Steps to Effective Social Media Measurement
If you’re going to invest time in social media, you need to measure performance, but it can be difficult to identify relevant metrics.

How to Generate Compelling Content Ideas for Your Online Customer or Member Community [Infographic]
Are you looking for content to fulfill your new content marketing strategy, but don’t know where to start? Try these 10 great content ideas – plus a bonus idea – to jump start or breathe new life into your efforts.

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Welcome, Vendors!

As a vendor offering radiology products and services you have come to the right place to find your target audience. RBMA attracts decision-makers with buying power.

RBMA members rely on vendors to keep them informed of new technologies, developments, and products for their practices.

“RBMA provides the foundation for connecting with the right people. We appreciate the opportunity to visit with our existing clients as well as meet new prospective clients.”

More Resources For Practice Vendors:

Resources For Vendors

Start planning your 2017 marketing program with RBMA today! Consider a Global Level Sponsorship. Contact daphne.gawronhski@rbma.org for details.

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Enhance your RBMA presence, increase brand awareness, and solidify your position in the industry through a variety of sponsorship programs

  • Billing
  • RBMA Standard Accounts Receivable Definitions

  • Click here to download RBMA Standard Accounts Receivable Definitions.

    I. CHARGES

    Gross Charges—the full dollar amount of all services rendered to patients.
    RBMA recommends recording Gross Charges using a consistent rate for each service. In instances where the organization has agreed to accept a lesser amount (e.g. Medicare rate, amount paid under a contract, etc.) the difference between the lesser amount and the billed rate is recorded as an Adjustment. For entities that do choose to record charges at different rates when billing to different payors, caution is urged when comparing against survey results or against other organizations that utilize a consistent rate schedule.

    II. CHARGE OFFSETS

    There are two different CATEGORIES of offsets against Gross Charges, specifically there are (1) Adjustments and (2) Write-Offs.

    1. Adjustments-Amounts which are never expected to be collected, by virtue of laws, regulations, contracts or internal policies applicable to the services provided by the entity.
      1. Insurer Contractual Adjustment: The difference between the Gross Charge and the amount paid under terms of a contract covering the patient. Examples include the amount in excess of the Medicare "allowed amount," any amounts in excess of the Medicaid allowance, or the difference represented in a discount to a PPO or HMO.
        1. Medical Necessity Adjustment: This is a subsidiary form of Contractual Adjustment and should be used when you have agreed to a third party contract allowing the third party to define medical necessity.
        2. No Pre-Certification Adjustment: This is a subsidiary form of Contractual Adjustment and should be used when you have agreed not to seek payment in instances when services are not pre-approved, as required in a third party contract requiring pre-certification of specific exams.
        3. Bundling Adjustment: This is a subsidiary form of Contractual Adjustment and should be used when you have agreed to a third party contract allowing the third party to define bundling of certain procedure codes.
        4. Capitation Adjustment: This is a subsidiary form of Contractual Adjustment and should be used when you have agreed to a third party contract that provides capitation payments for services rendered to a patient. The difference between what would have been the Gross Charges had these services been billed on a fee-for-service basis, and the capitated payment received, is the adjustment amount.
        5. Reasonable and Customary Adjustment: This is a subsidiary form of Contractual Adjustment and should be used when you have agreed to a third party contract that limits charges to reasonable and customary rates for services rendered. The difference between the entity's normal Gross Charges for all services and the amount allowed is the adjustment amount.
      1. Charity Adjustment: The difference between the Gross Charge and the amount (if any) that will be received for services to patients provided under a prospective charity arrangement. These would not be classified as a Write-Off because the charity status is known at the time of service. An example is when the radiology organization provides a service to a community, e.g. a "free clinic" for children. These accounts are also often credited pursuant to a contract or understanding with the hospital and/or policy of the radiology organization.
      2. Self Pay Discount Adjustment: These amounts are credited pursuant to a policy regarding prompt payment of an account.
      3. Third Party Contractual Adjustment: The difference between the Gross Charge and the amount paid under terms of a contract with a third party for services. An example is an agreement with a hospital for discounted wellness services to its employees.
      4. Administrative Adjustment: The difference between the Gross Charge and the amount paid in accordance with the entity's administrative policy.
    1. Write-Offs: Amounts that are expected to be collected, but the organization was unsuccessful in collecting.
      1. Bad-Debt Write-Offs: The difference between the Gross Charge and the amount collected from a patient where the difference is not covered by any other Adjustment or Write-Off. For example accounts assigned to a collection agency for collection are Bad-Debt Write-Offs. Any amounts received as a result of the work of a collection agent are included in the Gross Collections and are not netted against this Write-Off amount.
      2. Bankruptcy Write-Offs: The difference between the Gross Charge and the amount collected (if any) from a patient or third party, who has been adjudicated bankrupt.
      3. Non-Covered Service Write-Off: The difference between the Gross Charge and the amount collected (if any) from a patient receiving a service not covered by their insurer.
      4. Timely Filing Write-Off: The amounts credited due to a failure to file a claim within a specified time period for filing.
      5. Small Balance Write-Off: The amounts credited or debited because they fall below a threshold value for collection efforts.
      6. Return Mail Write-Off: The amounts credited due to a failure to locate the party responsible for payment. An example is patient statements that are returned with bad addresses.
      7. Estate or Deceased Write-Off: The difference between the Gross Charge and the amount collected (if any) from the survivors, or from the estate, of a deceased patient.

    III. COLLECTIONS

    Gross Collections — Revenue collected from Gross Charges.

    1. This includes:
      1. Payments from patients
      2. Payments from insurance companies
      3. Payments from governmental payors
      4. Withholds returned to the entity as part of a risk sharing arrangement
      5. Bonuses and incentives paid to the organization for good performance
      6. Collection agency payments
      7. Group bill payments
       
    2. This does NOT include:
      1. Stipends
      2. Medical director fees
      3. Revenue from billing services or administrative services to other entities

    IV. COLLECTION OFFSETS

    There are two categories of Collection Offsets: Refunds and Returned Checks.

    1. Refunds are any repayment of Gross Collections where the funds were collected in error.
    2. Returned Checks are Gross Collections paid by negotiable instrument, where the negotiable instrument was not honored upon presentation to the entity's depository institution.

    V. BILLING/COLLECTION EXPENSE

    All costs identified as incurred in the process of collecting, recording and transmitting charge information, plus the costs of collecting, posting and depositing payments for these services. Bank lockbox fees, credit card fees, and fees paid to mailing services and to collection agencies are included here.

    VI. PROCEDURES

    Total Professional Component, Technical Component or Global CPT/HCPCS codes billed during the reporting year. Counts of the following commonly billed items are not included:

    1. Contrast media
    2. Radiopharmaceuticals
    3. Computer evaluation of images (e.g. CAD review of mammograms)
    4. Other similar codes used for supplies and technical services that are tangential to providing the ordered services.

    VII. UNPAID CLAIMS

    Gross Charges submitted to a third party payor (e.g. Medicare, HMO, commercial insurer) that are not paid upon initial submission.

    (revised January 2010) 

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