Justify a Dedicated Radiology Coder-Reimbursement Specialist.

Abstract

There are many opportunities to justify a dedicated staff member. We have to be able to answer the question "How does this position make money?" The bottom line is that it's crucial the facility does not forfeit appropriate reimbursement for its existing procedures. For new procedures, or equipment, this individual can also ensure cost-benefit analysis/ROI is correct for equipment and/or supply purchases. The specific opportunities vary by facility so you must determine where your potential opportunities lie. There is not one answer, but this article provides you with specific areas to evaluate. Keep in mind if you are evaluating opportunities related to specific procedures you need to utilize outpatient numbers and assume Medicare reimbursement rates so that you calculate a conservative estimate. There is nioney to be found in most hospital organizations, so take the time to identify the potential benefit for your own. You can quantify the impact of a dedicated individual based on your specific case mix, which is very useful when justifying a new position. Also, it's very important to remember, you get what you pay for-fill the new position wisely. Saving a small amount in salary may result in a large sacrifice in potential revenues.