SIR Revenue Cycle Management

January 24-25, 2025
Emory Conference Center Hotel
1615 Clifton Rd, Atlanta


 

Why attend?

Physicians often lack knowledge of the revenue cycle. They do not typically manage this process, and they receive no formal training in healthcare revenue, coding, billing and coverage. A lack of understanding and resources in this area can also discourage physicians from building this skill set.

This course will educate physicians and business partners/leaders on the revenue cycle. Learn more about the two pathways offered:


Coding boot camp

After the live course, we will offer a pre-recorded coding boot camp with a live Q&A. This boot camp will educate virtual attendees on best practices for coding for IR procedures. Education will be focused on the SIR clinical specialty councils (IO, Neuro, Pain/MSK, PAD, Renal/GU, venous, and women’s health).


Physician leaders pathway

In this pathway, physician leaders will learn about Medicare policies and how they apply to their practice site. Additionally, we will:

      • Present different payment methods that are applied for reimbursement based on practice type.
      • Learn how devices are bundled into IR procedures or packaged in the overall reimbursement and how their contract with the facility and payers plays into reimbursement for services.
      • Learn how insurance determines policy around coverage, prior authorization, coding, payer edits, denials and appeals.
      • Cover SIR internal operations, including economics workgroups and the external CPT® and RUC process on how a CPT® code is made and valued within the AMA® process.




Business leaders pathway

In this pathway, business leaders will learn about practice-building, the economics of an OBL, and how to develop and determine if it is appropriate to open an OBL and build a business case. This pathway will also cover:

      • Regulatory differences between ASC and OBL.
      • Pros and cons of partnering with other specialties.
      • How to market your practice.
      • Optimizing APPs and operationalizing E/M coding.
      • Understanding stipends, fair market value, and implementation of compensation models.

This course will educate physicians and business partners/leaders on the history of physician reimbursement, site of service, optimizing APPs, IR coding for E/M, and commonly missed revenue with case examples.


Target audience

This course is designed for practicing physicians and business leaders


Learning objectives

      • To educate IR physicians and business partners so they can identify the revenue gaps within their practice, and give them the skills to address these problems.
      • To increase knowledge so that members can be the strongest advocates for our profession in the areas of economics and reimbursement.

Additional objectives include:

      • Understand how to apply IR CPT codes
      • Ethical issues in coding
      • Common scenarios where revenue is missed
      • Understand when CPT codes are bundled, unbundled, and packaged
      • How to apply modifiers and ensure clean claims are submitted the first time to avoid payment delays.

Program Planning Committee

Hawkins, Matt - 2022.jpg

C. Matthew Hawkins, MD, FSIR
Pediatric Interventional Radiology
Children’s Healthcare of Atlanta