Can you describe what you do for Direct Radiology? Do you have any unique processes/methods?
I manage all financial operations and HR department. Finance in radiology and medicine comes with may processes as well as checks and balances. A lot of work goes into getting paid and supporting all of the quality measures that Medicare adds to the mix. U.S. regulatory standards are continually evolving as well, including new coding over the past few years. The switch from ICD-9 to ICD-10 has been a big one. Each of our clients will pick specific quality measures to take on every year, and they are responsible for reporting how they’re meeting those standards. Direct Radiology helps our clients with each of those measures. One of the rules for PQRS is getting a statement on all CT reports confirming that we are using dose lowering techniques. We have to certify on the front end that the scanners use that, and then we can automatically include that note on all reports. The same goes for ultrasounds. There are other standards we have to certify and then have IT automatically populate that on reports. We work with clients to make sure the reports meet all the criteria and make sure they can bill insurance and meet all the quality measures.
How do you keep up with all the changes in coding and billing?
A lot of it is just good old-fashioned research. Reading all the updates and staying in close contact with billing companies. We have close communications with coders to see what challenges they’re facing, where they see denials and why. We do all we can to ensure all of our reports are billable.
In your opinion, how does Direct Radiology compare with other teleradiology firms?
What sets us apart is not specific to finance. Even though Direct Radiology has grown to be a large teleradiology company since launching in 2012, we still have the small company feel. We refer to ourselves as the Direct Radiology family, and we have that mindset that we’re here to do things right, to enjoy what we do, to work together, and to provide an excellent service, and it translates through my department and all departments in the company.
How does the financial team work together with the rest of the staff?
Because money touches everything, we end up interacting with all the other departments. One example is IT. They help create new systems that make our billing more effective and efficient, and they help us with specific needs for a client, like how to figure out a solution for unique situations. I have a great team. They all work hard, and I would love to give them a lot of credit for helping make Direct Radiology and our department successful. It’s a team collaboration to make it all happen, and everyone works very hard.