Keeping up with radiology reimbursement is tough. Amid the cycle of annual Medicare Physician Fee Schedule (MPFS) updates, regulatory changes and legislation, the future of reimbursement can feel uncertain.
As the landscape shifts again, radiology departments and imaging centers can benefit from a sharp focus on accurate documentation and coding to receive the reimbursement due to them.
Radiation oncology and therapy centers
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With multiple factors affecting reimbursement — including the MPFS, conversion factor and other regulations — it can seem almost impossible to understand the holistic impact.
Even when government funding softens the blow, any reimbursement cuts can feel significant for teams that are already lean. The impact also adds up over time.
44% reduction in Medicare reimbursement for diagnostic radiology in the past decade when adjusted for inflation, according to a recent study of the 50 most common imaging exams.²
Strengthen documentation and coding to support accurate reimbursement. With the power of artificial intelligence (AI), 3M™ M*Modal Fluency for Imaging helps improve accuracy, increase efficiency and close gaps in clinical documentation through:
Improve radiology reporting accuracy using embedded natural language understanding (NLU) technology
Address the top 10 most common radiology billing errors with real time CAPD coding
Boost efficiency and simplify the user experience with customizable smart templates
Here’s one radiology group’s experience.
Tennessee-based outpatient facility Abercrombie Radiology made major improvements and avoided possible downcoding for three coding concepts using:
With 3M Fluency for Imaging, radiologists were able to:
This helped Abercrombie Radiology achieve a projected annualized financial impact of
$165,000 in increased reimbursement.
“We are thrilled with our relationship with 3M. Combining speech recognition along with flexible templates has created some real efficiencies that help us improve quality and improve fixes down the line.”
Chief executive officer
As with any case study, results, outcomes and/or financial improvements should not be interpreted as a guarantee or warranty of similar results. Individual results may vary depending on a facility’s circumstances.
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¹American College of Radiology. (2022, January 7). Medicare Physician Fee Schedule Final Rule for Calendar Year 2022 Detailed Summary of the Payment and Quality Payment Program Provisions. https://www.acr.org/-/media/ACR/Files/dvocacy/AIA/2022-MPFS-FR-ACR-Detailed-Summary-FINAL.pdf
²Schartz, E., Manganaro, M., & Schartz, D. (2022). Declining Medicare Reimbursement for Diagnostic Radiology: A 10-Year Analysis Across 50 Imaging Studies. Current Problems in Diagnostic Radiology. https://doi.org/10.1067/j.cpradiol.2022.01.007