The purpose of this session is to introduce the vocabulary and acronyms of payment policy. The session will provide information on how to better understand how an imaging study progresses from an order in the medical record to actual reimbursement. Highlights include an introduction to CPT codes, and how these codes get assigned values (RVUs via the RUC and CMS). The session will explore the larger payers and how we to interact with them as radiology group and within hospital departments. In addition, the next frontier of payments models will be explored, such as ACOs, shared risk strategies, and bundled payments.
Discuss how a dollar value is assigned to the work of interpreting imaging exams.
Identify and define key vocabulary and acronyms within the healthcare payment policy lexicon.
Describe the important of advocacy with regards to both current and future payment policy.