knowledge, skill, ability (K, S, & A's) radiology specific
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This page remains under construction.
It is primarily focused on business-applicable knowledge skills, not clinical skills, although some of the business skills do overlap with direct clinical work.
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clinical certifications
- American Board of Radiology, interventional and diagnostic radiology (I maintain a >25% above average testing score compared to peers nationally.)
- American College of Radiology, cardiac CT interpretation
- American College of Radiology, MQSA-certified (lapsed)
- American Board of Radiology, nuclear medicine safety (not a CAQ); I have been listed on multiple institutional nuclear medicine licenses.
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revenue cycleList Item 4
Knowledge regarding:
- prevention of reimbursement denials
- proper documentation from clinician and/or radiologist
- proper coding
- site-non-neutral payments for imaging centers by type
- insurer pay for performance for radiology CPT codes
- MACRA payments and penalties
- strategies for maximizing imaging volumes / reducing productivity bottlenecks
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managerial accounting
Skill:
- creating a pro forma to show how future changes in payer mix and revenue by CPT code will affect revenues... thus enabling decisions on price changes prospectively
Knowledge:
- selecting cash flow/revenue cycle metrics that radiologists should use
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microeconomicsList Item 2
Knowledge regarding:
- national and regional surrogate markers of demand for outpatient radiology services
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human resource managementList Item 3
Knowledge regarding:
- pay for performance models for radiology healthcare professionals (RCHPs), such as physicians, nurses, and technologists
- training of RHCPs to have competency/proficiency at national standard levels
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quality management
Knowledge regarding:
- ACR standards
- SIR standards
I maintain a database of all ACR and SIR standards dating to around 2003, as well as most American and international medical societies' standards/guidelines relevant to radiologists.
- MACRA/MIPS changes each year since 2019
- actionable reports
- radiology patient safety (please see my article)
Please contact me for a list of the quality improvement measures that I have led in my career.
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organization strategy
Knowledge regarding:
- clinical decision support systems
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laws, regulations, and risk management for radiologists
common laws
I maintain an extensive database of articles published by attorneys on risk management advice for physicians, particularly radiologists:
- around 500 articles on radiology risk management.
- over 100 articles on informed consent relevant to radiology.
- hundreds of radiology malpractice case reports.
statutory laws
I maintain a database of laws affecting radiology billing and informed consent, e.g., regarding billing:
- 2020 No Surpises Act
- 2019 CMS price transparency rule
- 2015 MACRA
- 2015 Bipartisan Budget Act
- 1993 OBRA (Stark 2)
- 1990 OBRA (Stark 1)
- other statutes pertaining to radiologists.
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information systems and technology
Knowledge regarding:
- PACS deconstruction
- vendor neutral archiving