Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Management in
Radiology
Copyright © 2004 by American Healthcare Radiology Administrators
American Healthcare Radiology Administrators grants permission for photocopying for limited personal
or internal use. This consent does not extend to other kinds of copying, such as copying for general
distribution, for advertising or promotional purposes, for creating new collective works, or for resale. For
information, address American Healthcare Radiology Administrators, 490-B Boston Post Road, Suite
101, Sudbury, MA 01776.
American Healthcare Radiology Administrators (AHRA) is the premier association for imaging profes-
sionals. Since 1973, the organization has led the industry in information, education, and professional
support.
Its programs–including its journal, Radiology Management; on-site coding, electronic imaging, and imag-
ing center conferences; surveys; and substantive annual meeting and exposition– establish standards of
excellence throughout the profession.
In addition, AHRA’s Certified Radiology Administrator (CRA) program is the first and only professional
credential tailored specifically for radiology administrators. The CRA is designed to elevate professional
standards, enhance individual performance, and recognize administrators who demonstrate knowledge
essential to the practice of radiology management.
The AHRA Education Foundation supports the membership and radiology professionals in the US and
abroad by granting scholarships and conducting research that enhance the effectiveness of imaging and
healthcare disciplines.
Current Procedural Terminology (CPT) is copyright 2004 American Medical Association. All Rights
Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The
AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to
government use.
Editorial assistance and graphic design by Magnificient Publications, Inc. of Bethesda, Maryland.
Foreword
Although it’s been several years since I joined the ranks of the AHRA members
emeritus, certain important values of the AHRA have always stuck with me. In
particular, I have always marveled at how much professional development means to
those who toil in the trenches of radiology management.
The pages of this book represent more than the collective wisdom of today’s leaders
in the business of radiology. Granted, you will not be disappointed for the time you
will spend reading and rereading the contents before you. Having edited a similar
work more than 10 years ago in a tiny volume titled Current Concepts in Radiology
Management, I know how valuable such a reference can be.
More importantly, this text serves to once again demonstrate that AHRA mem-
bers willingly seek out professional development on a grand and continuing scale.
The creation of this text equally testifies to a special commitment that the AHRA
continuously makes to its members. The AHRA is truly an association of lifelong
A project of this magnitude succeeds only because of many people who are generally
behind the scenes. We extend our sincere appreciation to Berlex Laboratories, which
provided an unrestricted educational grant in support of this textbook, for allowing
our dream to become a reality. More than 40 AHRA members became authors, of-
fering their knowledge and expertise as they wrote and rewrote content. In addition
to the authors, more than 50 AHRA members reviewed draft outlines, tables of
contents, or chapters. AHRA staff members were instrumental in the coordina-
tion and management of this project, including Christine Tuttle, Kathy Delaney,
Karen Guy, and Kathryn Keeler. Lastly, we thank Magnificent Publications, Inc., of
Bethesda, Maryland, for its excellent service, and for making seemingly impossible
deadlines work.
During the 2002 AHRA Annual Meeting and Exposition, the American Health-
care Radiology Administrators (AHRA) announced the beginning of its most am-
bitious initiative ever, the development of the Certified Radiology Administrator
(CRA) program. That news and the announcement that Eastman Kodak Health
Imaging had agreed to support the program with a $1 million grant over the next
5 years were greeted with a standing ovation by the more than 1,100 radiology ad-
ministrators present.
As AHRA engaged hundreds of its members over the next 18 months to develop
the program, it became apparent that there was a clear and distinct body of knowl-
edge in radiology administration; yet, it also became evident that the way radiology
administrators learned their craft was not well defined. There were no seminal ref-
erences that aspiring radiology administrators could turn to when developing the
knowledge and expertise that would better qualify them for management positions.
Experienced radiology administrators who were taking on new responsibilities most
frequently networked with colleagues through AHRA’s electronic mailing list and
at conferences and seminars and turned to textbooks in other fields for the new
knowledge needed for success. AHRA’s journal, Radiology Management, proved to
be the one consistent and readily accessible resource offering a wealth of timely and
actionable radiology administration information.
In Part II, Generating Revenue, payment sources, pricing and contracting, maximiz-
ing reimbursement, and collections are addressed.
In Part IV, Planning for the Future, aspects of equipment selection and new busi-
ness development are discussed.
In Part V, Other Organizational Issues, staying on the right side of the law, by using
corporate compliance planning and resolving ethical dilemmas, is addressed.
Mary S. Reitter, MS
Executive Director
American Healthcare Radiology Administrators
Sudbury, Massachusetts
Mary S. Reitter has served as executive director of the American Healthcare Radiol-
ogy Administrators since 1997. Prior to joining AHRA, Mary was vice president at
the Brain Injury Association in Washington, DC. She received her master’s degree
from the University of North Carolina–Chapel Hill.
Angela Colbert
President
Grapevine Imaging and Pain Management Center
Grapevine, Texas
Angela Colbert is president and co-owner of Grapevine Imaging and Pain Man-
agement Center, a full service outpatient diagnostic imaging center located in the
Dallas-Fort Worth area. Angie’s 16 years of experience have included all aspects of
managing and directing multi-modality diagnostic imaging centers. Her particular
area of expertise is in the operational aspect of running a facility, with special em-
phasis on the billing and collection of medical accounts.
Foreword ............................................................................................................................... 3
Acknowledgments ........................................................................................................5
Introduction .......................................................................................................................6
Contributors .......................................................................................................................8
Part 1: Fundamentals
1. Understanding Financial Statements ........................................................................... 25