SIR Revenue Cycle Management

Navigating the IR revenue cycle to increase your bottom line

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

Why attend?

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

This course will offer two in-person pathways, in addition to an asynchronous coding training course, the IR Coding Academy, to educate physicians and business partners/leaders about all components of the revenue cycle in all practice settings (inpatient, outpatient, and office-based labs). Learn more about the two pathways offered:

• Physician leaders
• Business leaders

IR Coding Academy

Following the live course, we will offer an asynchronous coding training course, the IR Coding Academy. This on-demand training will educate virtual attendees on best practices for coding IR procedures and evaluation and management (E&M) services. The education will focus on the SIR clinical specialty councils (IO, Neuro, Pain/MSK, PAD, Renal/GU, Venous, Women’s and Men's health).

Physician leaders pathway

In this pathway, physician leaders will learn to identify gaps within their practice and acquire the knowledge and skills needed to address these issues. Additionally, this course will cover:

• Education on various payment methods used for reimbursement, tailored to different practice settings (inpatient, outpatient, office-labs).
• Understand, how devices are bundled into IR procedures or packaged in the overall reimbursement and how your 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.
• Gain knowledge of SIR internal operations, including economics, the CPT® and RUC process around how a CPT® code is made and valued within the AMA® process and ultimately by CMS.

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 physicians at all career levels 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 regain lost revenue.
• To increase knowledge so that attendees can be the strongest advocates for our profession in the areas of economics and reimbursement policy.

Additional objectives

• Understand how to apply IR CPT codes
• Ethical issues in coding
• Common scenarios where revenue is missed/lost
• 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 chair

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