Achieving Revenue Integrity in Radiology Starts with the Right Revenue Cycle Management Partner

June 19, 2023

In today’s healthcare landscape, revenue cycle management has become increasingly complex for radiology practice leaders. To operate successfully and achieve radiology revenue integrity, it’s essential to work with the right revenue cycle management (RCM) partner.

Revenue integrity is crucial in radiology because it ensures that healthcare services are being billed and paid for correctly. Radiology practices deal with many different payer sources, including Medicare, Medicaid, private insurance providers, and self-insured corporations. With each payer source, there are different rules, regulations, and coding requirements that need to be followed to bill accurately. This can become a challenge for radiology practice leaders who must manage the billing process while keeping up with changes in regulations and requirements.

One of the biggest challenges radiology practice leaders face is managing denials. Denials occur when a claim is rejected by a payer source. This can be due to a variety of reasons, including incorrect coding, missing information, or a lack of prior authorization. Managing denials can be a time-consuming and costly process for radiology practices. To achieve revenue integrity, it’s important for radiology practice leaders to partner with an RCM partner that has a strong denial management program in place. Zotec Partners uses advanced AI technology to work through denials and notify carriers directly.

Another challenge is managing the revenue cycle itself. The revenue cycle includes all the processes that need to happen from the time a patient schedules an appointment to the time the practice receives payment for services rendered. This can include registering patients, verifying insurance coverage, collecting co-pays, coding and billing claims, and following up on payment. With so many steps involved, it can be easy for errors or delays to occur. A strong RCM partner can help radiology practice leaders streamline the revenue cycle and ensure that all processes are happening as they should.

Technology is also a critical factor in achieving revenue integrity in radiology. Radiology practices need the right technology tools to manage the revenue cycle effectively. This includes electronic health record (EHR) systems for documenting patient visits and procedures, coding and billing software for submitting claims, and analytics tools for monitoring revenue cycle performance. When selecting an RCM partner, radiology practice leaders should ensure that they have the technology infrastructure and resources in place to support their revenue cycle.

Zotec has vast experience and fully integrated solutions, which gives our radiology clients much more than computer bolt-on AI. Rather, our platform and culture is applying and expanding computing capabilities to address complex problems securely and responsibly.

In summary, achieving revenue integrity is essential for radiology practices to operate successfully and sustainably. By partnering with the right revenue cycle management partner, radiology practice leaders can overcome the challenges of managing denials and the revenue cycle and ensure they have the technology infrastructure and resources in place to support their revenue cycle. Choosing the right RCM partner can make a significant difference in the financial health of radiology practices, freeing them up to focus on patient care and improving outcomes.

By: Howard Pingston, VP, Radiology Business Development

Curious about Zotec’s approach to revenue cycle integrity? Book your demo today.