Beyond Healthcare Economics Milestones: How a Dictation Becomes a Dollar

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This session shall satisfy Level 3 of the Health Care economics milestone.  This session shall introduce the manner in which physicians are paid within the Medicare program.  This will include a detailed discussion of Relative Value Units (RVUs) and how they translate to payment.    Pay for performance initiative which impact payment shall also be discussed.   The session will close with a brief introduction to the financial performance indicators commonly used in radiology practice.

Learning Objectives:

  • Describe each step in the coding and billing process from the time of dictation to final payment, including CPT coding, ICD-9 coding, medical necessity, RVU determination and fee schedule payment.
  • Discuss the implications of pay for performance initiatives on final payment with focus paid upon the Physician Quality Reporting System.
  • Discuss the financial performance indicators which radiologists can use to evaluate their practice's billing operations

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