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RBMA A/R Survey 2024

Practice Information

Billing

The total amount expended for all in-house billing activities during the reporting period. Include the following expenses: - Wages
- Benefits (including prorated wages and benefits for senior managers who spend time overseeing this function)
- Payroll taxes
- Supplies
- Building rent or depreciation
- Equipment lease or depreciation
- Repairs
- Maintenance
- Cleaning
- Forms
- Postage
- Telecommunications services
- Software lease or Depreciation
- Credit card and Lockbox fee
- Fees paid to a mailing service
- Outside coding company or Collection agency
If your billing is done by an outsourced billing organization, and the billing organization fee includes 100% of the costs, enter 0 here.
The total amount (including sales tax on services) paid to outside organization(s) for billing and collection services during the reporting year
Include any coding, credit card, lockbox, mailing service and collection agency fees not included in the billing service fee Do not include fees paid for practice management services Prorated wages and benefits for the practice’s own employees who spend time (including managerial oversight) on any aspect of the billing and collection function.
If your practice does not utilize an outsourced billing vendor, please enter 0 here.
Two radiologists who share a full-time position are counted as one FTE. Radiologists who work full-time for less than 12 months or who were employed temporarily by the group are counted as a fraction of an FTE defined by the proportion of the year worked; For example, a radiologist employed full-time for six months would be considered one-half of an FTE.

Financial Information—Professional Component

Professional Component (PC) services include physician services such as supervision and interpretation billed with a -26 CPT® modifier and services billed with surgical codes. Do not report PQRS codes, contrast media, radiopharmaceuticals, computer evaluation of images, and codes used for supplies and technical services tangential to providing the ordered professional service. For the following questions, these definitions apply: Commercial / Non-governmental = All commercial plans, contracted or not Governmental = Medicare, Medicaid, Supplemental Medicare plans, Medicare HMO, Medicaid HMO, Railroad Medicare, Tricare, VA Uninsured – Do not include Self-Pay after insurance
Adjustments - (Amounts not expected to be collected by virtue of laws, regulations, contracts or internal billing policies-PC
The $ difference between the gross charge and the allowed amount under the insurance contract, including MPPR and Capitation adjustments
See RBMA standard definitions for explanation The $ difference uncollected because of internal policies
Policy Adjustments
Charity
Self-Pay discounts
Non-insurance plan contract rate adjustments
Administrative
Refunds, returned checks, recoupments
Provide the total amount of write-offs for the following categories.
Bad debt
Bankruptcy
Non-covered services
Timely filing
Small balance
Return mail
Estate/deceased
Out of network
Medical necessity
No precertification/authorization

Financial Information — Global Services

Global Services include physician services such as supervision and interpretation billed with a -26 CPT® modifier and services billed with surgical codes. Do not report PQRS codes, contrast media, radiopharmaceuticals, computer evaluation of images, and codes used for supplies and technical services tangential to providing the ordered professional service. For the following questions, these definitions apply: Commercial / Non-governmental = All commercial plans, contracted or not Governmental = Medicare, Medicaid, Supplemental Medicare plans, Medicare HMO, Medicaid HMO, Railroad Medicare, Tricare, VA Uninsured – Do not include Self-Pay after insurance
Adjustments - (Amounts not expected to be collected by virtue of laws, regulations, contracts or internal billing policies - (Global)
The $ difference between the gross charge and the allowed amount under the insurance contract, including MPPR and Capitation adjustments
See RBMA standard definitions for explanation The $ difference uncollected because of internal policies
Policy Adjustments
Charity
Self-Pay discounts
Non-insurance plan contract rate adjustments
Administrative
Refunds, returned checks, recoupments
Provide the total amount of write-offs for the following categories.
Bad debt
Bankruptcy
Non-covered services
Timely filing
Small balance
Return mail
Estate/deceased
Out of network
Medical necessity
No precertification/authorization
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