We don’t send straight ADT to the radiologists because at the time of registration we don’t know in all cases if there’s going to be a rad service performed, so 1) it would overwhelm the radiologist billing system to give them everything and 2) we don’t want to send ePHI for patients the radiologists have no business knowing about.
The BEST solution for us would be when the HIS receives the charge transaction from the Clinical system to trigger an ADT message to the radiologist. Technically it’s feasible if you can have a process to manage charge errors and reversals. However because of the $$$ and the performance to date of the vendors involved, it hasn’t come off for us.
What we do have (that no one is REALLY happy with) is to wait until the bill drops and scan the claim content for radiology revenue codes and use the patient and coverage demo from the claim header and batch that up to the radiologists daily. The big flaw with this is that our billing lag days mean that the radiologist have unmatched data on their system longer than they want to.
Vince Angulo
Children’s Health System
