Key Highlights and Take-Aways
By Sarah Herzog, President, Radiology Business Unit and Jennifer Bash, RHIA, CIRCC, RCCIR, CPC, RCC, CANPC, Director of Coding Education
We are excited to share the key highlights and take-aways from 2025 RBMA PaRADigm. We experienced great engagement in our booth and saw engagement and excitement throughout the event. This is a testament to the industry’s desire to work together and ensure the success of radiology practices around the country.
Here are some of the noteworthy points from our sessions and discussions:
AI Best Practices: There were lots of conversations and sessions that addressed the growing presence of artificial intelligence in Radiology – the benefits of using it, how to choose the best AI tools and, when you’re ready, how to market it to your patients. Overall, it’s important to evaluate the potential impact on patient care, ensuring that AI tools complement radiologists’ expertise rather than replace it. Learn more about our thoughts on AI for Radiology
Payer Negotiation & Strategy: Many attendees were concerned with new payer policies that challenge facility-based physician groups’ ability to obtain fair reimbursement. Strategies such as complicating the enrollment processes, excessive claim denials, and contract non-compliance result in delayed payments and increased administrative burdens, ultimately affecting patient care. Learn more here
Staffing shortage & Physician Non-Competes: Understanding the implications and navigating the complexities of non-compete agreements while dealing growing staff shortages was also a top concern. Both situations can lead to increased workloads, longer turnaround times, and heightened stress. Patient care is also being impacted as radiologists are facing difficulty in keeping up with rising demands for diagnostic imaging. This situation threatens to exacerbate burnout and could affect the quality and efficiency of healthcare delivery.
AMA’s Proposed MIPS Restructuring: While many sessions focused on the MIPS program, one of the most intriguing sessions gave attendees a closer look into the American Medical Association’s proposed replacement of the MIPS program, called the “Data-Driven Performance Payment (DDPP) System”. This proposed solution aims to improve the program through a variety of approaches including threshold reform allowing practices to recover from the prior years’ challenges and seeking to align with other Medicare payment programs. Practices should monitor CMS’ response, but, due to the numerous factors influencing the present situation, it appears that the implementation of the new program may be postponed.
The overall sentiment from conversations at Paradigm suggested that groups are anticipating further cuts in funding and delayed legislation due to the current volatile political landscape. Practices should lean on their client success team and the experts at Ventra to stay apprised of any new developments affecting their billing and government programs.
We hope you find these insights valuable and look forward to engaging with you further as we navigate these challenges and opportunities together.
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