RBMA A/R Survey 2024 - Vital Check

RBMA A/R Survey 2024

Practice Information

1. Please provide the name of the person submitting this survey. *

2. Please provide an email address for questions relating to the survey and for distribution of results. *

3. If the submitter is a billing company, please provide the email you would use to view the results.

4. Primary state in which the practice provides services (select from list) *

5. Is billing/collection done in-house or by a billing service? *

In-house Billing Service

Billing

6. Total billing/collections expense (In-house) 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.

7. Total billing/collection expense (billing service) 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.

8. Number of FTE radiologists producing this volume of service 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

9. Total number of Professional Component CPT/HCPCS codes billed during the year 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

10. Total number of Work RVUs billed during the year

11. Total gross charges ($)--(PC)

12. Total Commercial/ Non-governmental Gross Charges ($) – (PC)

13. Total Governmental Gross Charges ($) – (PC)

14. Total Uninsured Gross Charges ($) – (PC)

15. Total gross collections ($)—PC

16. Total Commercial/ Non-governmental Gross Collections ($) –PC

17. Total Governmental Gross Collections ($) – (PC)

18. Total Uninsured Gross Collections ($) – (PC)

Adjustments - (Amounts not expected to be collected by virtue of laws, regulations, contracts or internal billing policies-PC

19. Total insurer contractual adjustments ($)—PC The $ difference between the gross charge and the allowed amount under the insurance contract, including MPPR and Capitation adjustments

20. Total administrative/other adjustments—PC 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

21. Collection Offsets ($)—PC Refunds, returned checks, recoupments

22. Total write-offs ($)—PC 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

23. Amount of Total Write Offs written off to the collection agency

24. Total accounts receivable balance as of December 31 of the survey year

25. Total Commercial / Non-governmental A/R Balance

26. Total Governmental A/R Balance

27. Total Uninsured A/R Balance

28. Total A/R Balance Above 120 Days

29. Total Commercial / Non-governmental A/R Balance Above 120 Days

30. Total Governmental A/R Balance Above 120 Days

31. Total Uninsured A/R Balance Above 120 Days

32. Total credit balances ($)—PC

33. Credit balances over 90 days ($)—PC

Financial Information — Global Services

34. Total number of Global Services CPT/HCPCS codes billed during the year 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

35. Total number of Work RVUs billed during the year

36. Total gross charges ($) - (Global)

37. Total Commercial/ Non-governmental Gross Charges ($) – (Global)

38. Total Governmental Gross Charges ($) – (Global)

39. Total Uninsured Gross Charges ($) – (Global)

40. Total gross collections ($) - (Global)

41. Total Commercial/ Non-governmental Gross Collections ($) – (Global)

42. Total Governmental Gross Collections ($) – (Global)

43. Total Uninsured Gross Collections ($) – (Global)

Adjustments - (Amounts not expected to be collected by virtue of laws, regulations, contracts or internal billing policies - (Global)

44. Total insurer contractual adjustments ($)— (Global) The $ difference between the gross charge and the allowed amount under the insurance contract, including MPPR and Capitation adjustments

45. Total administrative/other adjustments - (Global) 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

46. Collection Offsets ($) - (Global) Refunds, returned checks, recoupments

47. Total write-offs ($) - (Global) 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

48. Amount of Total Write Offs written off to the collection agency

49. Total accounts receivable balance as of December 31 of the survey year

50. Total Commercial / Non-governmental A/R Balance

51. Total Governmental A/R Balance

52. Total Uninsured A/R Balance

53. Total A/R Balance Above 120 Days

54. Total Commercial / Non-governmental A/R Balance Above 120 Days

55. Total Governmental A/R Balance Above 120 Days

56. Total Uninsured A/R Balance Above 120 Days

57. Total credit balances ($) - (Global)

58. Credit balances over 90 days ($) - (Global)