By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    improving patient experience
    6 Ways to Improve Patient Satisfaction Within Hospitals
    December 1, 2021
    degree for healthcare job
    What Are The Health Benefits Of Having A Degree?
    March 9, 2022
    custom software development is changing healthcare
    Digital Customer Journey Mapping and its Importance for Healthcare
    July 21, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Can Thinking Younger Make You Live Longer?
    April 20, 2011
    Image
    Obesity’s Outlook Unchanged
    June 13, 2011
    When It’s An Emergency Elderly Not Treated As Well in Hospitals
    July 16, 2011
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Using Business Intelligence and Analytics for Radiology Billing
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Finance > Using Business Intelligence and Analytics for Radiology Billing
BusinessFinanceHospital AdministrationRadiologySpecialties

Using Business Intelligence and Analytics for Radiology Billing

Andy Salmen
Last updated: May 11, 2013 8:25 am
Andy Salmen
Share
4 Min Read
BI analytics HIS
SHARE

BI analytics HISIt seems like data is everywhere you look.  Businesses rely on marketing data, customer demographics, accounting numbers, and in-depth analytics to make daily decisions.

BI analytics HISIt seems like data is everywhere you look.  Businesses rely on marketing data, customer demographics, accounting numbers, and in-depth analytics to make daily decisions.  Experts espouse the use of business intelligence in manufacturing, health care, financial management, and other niches.  What does this new reliance on data have to do with radiology billing?  If you want to develop a profitable claims process, it turns out data plays a huge role.

Business Analysis and Denial Management

Traditionally, many organizations deal with claim denials on a singular basis.  This is especially true when dealing with paper claims.  The error is corrected, the missing information is attached, or the denial is appealed.  When you get data involved in the radiology billing process, however, you may be able to stop claims denials at the source.

More Read

What’s Your Patient Navigation Strategy?
What’s In The Plastic? Why The Safety of Your Dental Night Guard Matters
A Different Calling: Phlebotomist and Their Significance in the Medical Field
Beyond the Buzz: 25 Content Ideas for Your Healthcare Blog
Cancer Patients Seeing the Ripple Effects from Sequestration

Avoiding denials has a variety of benefits, including:

  • Each claim comes with more profit when you don’t work it more than once
  • Reducing denials also reduces the chance of payer audits.
  • Clean claims makes it more likely you’ll attract insurance contracts.
  • A one-and-done approach to claims reduces the amount of labor hours it takes to receive payment on your services, allowing you to concentrate on the quality of patient care.

By using data about your denials to find problem areas in your processes, you can address future denials in bulk.  For example, if 30 percent of your denials were for invalid insurance, you might realize there’s a problem in the insurance verification process or system. Addressing that problem can mean smoother sailing for your radiology billing.  For hospital based radiology practices, this will involve keeping a watchful eye on your hospital or partnering facility.  Your success is incumbent on the accuracy of information gathered at registration. 

To conduct a data analysis of your denials, you need to gather information about denials over a certain time.  You might consider all denials for a week or a month.  Categorize the denials into reasons, including things like coding errors, missing documentation, claim information errors, and insurance verification errors.

Take a closer look at the denials that account for the biggest category.  See if you can trace the denials to a root cause in your organization or your partnering facility/hospital.  Causes could include a problem with your system, a staff member who needs more education, or a confusing set of instructions.  Make appropriate changes to address the issue.

Wait a few weeks for the changes to take effect, then pull another set of denials to review. Hopefully, you’ll see a reduction in the amount of denials associated with that category.  If not, then you may not have addressed the problem.  If you do see a reduction, then move on to the next highest category.  One of the purposes of business intelligence is to constantly improve processes, so, unless you never receive a denial, you shouldn’t think your radiology billing practices are perfect.

(Image: freedigitalphotos.net)

Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Clinical Expertise
Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
Health care
May 18, 2025
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025
Learn how to Renew your Medical Card in West Virginia
Learn how to Renew your Medical Card in West Virginia
Health
May 15, 2025
Dr. Klaus Rentrop Shares Acute Myocardial Infarction heart treatment
Dr. Klaus Rentrop Shares Acute Myocardial Infarction
Cardiology
May 13, 2025

You Might also Like

Patient Experience: Exceeding the Patient’s Expectations

February 23, 2013

Mayo Clinic Driving Innovation to Improve Quality

August 29, 2012
Specialties

New Indication for Colonoscopy: High Value Target Captured.

May 6, 2013

Study: Increasing Scope of NP Practice Does Not Undercut Physician Reimbursement

March 18, 2012
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?