Management Medical

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Bernie Rubenzer Publications

MBA, FAHRA

Author

Director - Imaging Services Introduction to

Gila Regional Medical Center

Medical Imaging

Management ?

1313 E. 32nd Street w: 575-***-****

Silver City, NM 88061 m: 262-***-**** textbook to be published

United States

fall, 2012 Taylor &

*********@**.**.***

Francis Publishing.

AHRA: http://www.ahraonline.org

Course Design

MGMA: http://www.mgma.com

Introduction to

RBMA: http://www.rbma.org

Medical Imaging

Management ?

Summary

Medical Technology

Radiology Physician Practice Management Management Institute -

Imaging Technology Education

2008

Hospital Imaging Department Administration

Quality Examiner for Quality New Mexico - state level based on national Baldrige program

Author On Line

Letter from Governor of New Mexico

Continuing Education -

Excerpt from the March, 2010 "Connexion", the journal of the Medical Group Management

Association

American Healthcare

Radiology

Bernie Rubenzer,MBA, FAHRA, former chief executive officer, Doctors Imaging Group, Radiology Administrators

Gainesville, Fla., and presiding president, MGMA Radiology Assembly

Web Site - 1999

As we all know, the changes in healthcare have become front-page news every day. The government

is struggling to reform the healthcare system. As part of this reform, medical imaging has been in the

Workshop Instructor

crosshairs. Because of the high cost of the procedures and associated equipment, analysts believe

Microsoft Access

savings can be achieved by targeting imaging.

Beginning and

Several measures are either being considered or implemented. Included in the proposed cuts are

Intermediate Hands On

measures that penalize so called underutilized modalities that produce high-cost exams. The studies

Workshops ?

that produced this conclusion are faulty at best. Associations involved in imaging have been working

Annual National Meeting

hard at exposing these flaws. In addition, draconian cuts may occur in other imaging areas.

- American Healthcare

The biggest challenge for the imaging administrator is first trying to forecast based on these constantly

Radiology Administrators,

moving targets. Once this is done, we must try to maintain access and profit with reduced

1998, 1999, 2000, 2001

reimbursement.

mgma.com/radiology

Author of

Join the MGMA Radiology Assembly eGroup at mgma.com/community

Management for New

Administrators ? column

Work History - "Radiology

Management" - American

Gila Regional Medical Center

Healthcare Radiology

Silver City, United States Jul 2010 - Present Administrators, 1996 -

Director - Medical Imaging 1998

Author and Editor -

"Software/Hardware

Doctors Imaging Group

Review" column for -

Jan 2009 - Jan 2010

Advance for

CEO

Administrators in

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Medical Technology Management Institute

Radiology magazine,

Sep 2007 - Oct 2008

1993, 1994, 1995

Director of Technologist Education/Progam Director Patient Satisfaction

Survey

Author of article

Radiology Associates of Milwaukee

published in Winter, 1995

Nov 1996 - Aug 2007

issue of "Radiology

Practice Administrator

Management" - American

Healthcare Radiology

Community Memorial Hospital Administrators

"The Orientation Coach:

Jan 1991 - Oct 1996

An Important Player in

Administrative Director of Medical Imaging

Competency Based

Orientation ?

Education Co author of article

published in Spring, 1993

Keller/DeVry School of Management issue of "Radiology

Management" - American

1987 - 1990

Healthcare Radiology

MBA, Business Administration

Administrators

"Staff Utilization Survey -

Western Michigan University

Part I"

1982 - 1987

Author of article

BS, Healthcare Administration published in Spring, 1993

issue of "Radiology

Management" - American

Certifications

Healthcare Radiology

Administrators

ARRT Has no expiration

(American Registry of Radiographic Technologists)

"Staff Utilization Survey -

Part II"

Mensa Author of article

(Mensa of America)

published in Summer,

1993 issue of "Radiology

FAHRA Has no expiration

(American Healthcare Radiology Administrators)

Management" - American

Fellow

Healthcare Radiology

Administrators

Golden Key National Honor Society Has no expiration

(Western Michigan University) Staff Utilization Survey -

Part III"

Author of article

Member, American College of Medical Practice Executives (MGMA) Has no expiration

published in Fall, 1993

issue of "Radiology

Member, Radiology Business Management Association Management" - American

Has no expiration

(RBMA)

Healthcare Radiology

Administrators

Quality Examiner Jul 2010 - Has no expiration

(Quality New Mexico - State of New Mexico)

"Ancillary Staffing and

Compensation"

Author of article

published in January,

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President, Radiology Assembly, Medical Group Management Association 2010

1993 issue of "Radiology

Management" - American

(MGMA)

Healthcare Radiology

Administrators

Accomplishments

"Monthly Productivity

Reporting - Software for

Gila Regional Medical Center

the Personal Computer"

Author of article and

Accomplishments

computer program

published in January,

First year - + $2MIL revenues, - $200K expenses

Upgrade from 4 slice to 160 slice CT scanner 1986 issue of "Radiology

Effected $700K expense savings in first year

Management" - American

Installation of digital mammography

Healthcare Radiology

Institution of cardiac screening programs

Completion of Quality New Mexico examiner training program based on national Baldrige Administrators

model

ACR Accreditation process in all modalities

Imaging department 4 star award winner for PRC National Excellence in Healthcare Award

LEAN Team member

Doctors Imaging Group

Accomplishments:

2010

Implement practice management software install

Develop standard accounting/finance reports

o Income statement

o Balance sheet

o Statement of Cash flows

Develop and implement accurate profitability by site reports

Implement recruiting plan for radiologists

Develop capital budgets

Develop operating budgets

Implement variance analysis by site

Develop capital equipment replacement plan

Develop succession planning for radiologists

Hold strategic planning sessions

Implement HITECH Policies

Implement Red Flag Procedures

Implement RAC Response Team

Increase staff involvement in planning and ongoing monitoring

Increase marketing efforts

June 1 to January, 2010 Integration

Billing functions

Reduced outstanding account receivables from $8.5M to $4.7M in one year

methodology:

Hospital charge audits for accuracy found $700K+ in missing

charges eventually all hospital charges were posted within 4 days

Focus on aged accounts

Claim denial system implemented

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Monthly meetings with insurance company reps

Developed up front collections for deductibles and coinsurance

Staff changes and reductions

Developed progress reports for staff

Changed collection services

Obtained

Fiduciary liability insurance (Errors and Omissions)

Privacy and Security insurance

Physicians Regulatory liability insurance

Employment practices insurance

Directors and Officers Liability

Obtained AHRA standardized staffing level survey results compared to current staffing

levels

Capacity analysis for remaining imaging center clinic after partial closure of secondary clinic

Developing capacity calculations for all sites

Initiation of regular scheduled meetings with marketing

Replacement of 4 Ultrasound units

Development of Physician Assistant Policy and Procedure manual

Successful level II Florida inspection at spine/IT specialty center

Establishing Patient Safety programs at all sites

Redesign/reinstitution of HIPAA and Medicare compliance plans

Analysis of proposed government imaging cuts

Revision of all operating agreements and professional service agreements

Constructed pay scales for all positions

Review/analysis of hospital/group contract

Spine/IR specialty center C-Arm business analysis

Development/implementation of RFP process for replacement RIS/Billing software

Restructure of Physician Assistant situation/hiring of 3rd PA

Joint Venture Invision Project

Physician Policy Manual revised and updated

Refinement of policies regarding non-partners

Patient satisfaction survey process developed

Feb 2 to June 1 1st phase in on boarding process look, listen, learn

Capital Budget planning process developed

Interaction with attorney re: resignation of Radiologist

Development/Implementation of Red Flag program

Development of HITECH program

Education/planning for forthcoming RAC audits

Salary Scales for all positions

Bids for Directors and Officer s Liability, Errors and Omissions, and Business Practices

insurance

Development of billing department productivity measures

Revision of standard radiologist contract

Developing revenue/expense reporting

Dashboard development

Development and implementation of committee charters

Refinement of professional group/operating entity contract

Development of strategic planning process

Analysis/discontinuation of Select Specialty Hospitals contract

Formation of Quality Committee

Meeting with hospital CEO/CFO

Development of 2009 focus for CEO

Group read contracts update

Familiarization

Medicare compliance

Investigation of West/Lake City Invision proposal

Development of Radiologist Orientation process

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Instituted payer performance monitoring

Development of staff productivity measures/monitoring

Review of current financial reporting capabilities

Obtained standard RBMA ratios/formulas for bench marking

Resurrection / fine tuning of financial reporting

Developing P/L and variance analysis by site/modality

Collection and review of all corporate contracts

Development of strategic plan outline

Update and legal review of group/imaging center contract

Individual meetings with Radiologists as time permits to assess needs

Development of job descriptions for COO, CFO, billing manager

Development of budget/variance analysis training sessions for site supervisors

Face to face introductory meetings

President, North Florida Regional Medical Center

Radiology Director, North Florida Medical Center

Administrator - Surgical Center

CEO - Orthopedic Institute

Manager of Invision

Discussions with Mike Segal, Esq., Legal Advisor

Review and analysis of all group read contracts and agreements

Review and analysis of chargemaster

Education in Practice Analytics, CodeRyte, and Medical Manager software

Review of previous meeting minutes for

Executive Committee

Group meetings

Finance Committee

Vendor introductions

Development of marketing plan/strategy

Review and update of financial checks and balances system

Investigation of denials management program

Investigation of ABN usage and resolution to issues involved

Review of corporate compliance plan

Re-institution of compliance/quality committee

Orientation to Radiologist scheduling process

Review of billing flow/process

Analysis of several proposed payor agreements

Obtaining benchmark data on staffing/billing ratios

Developing department models (org chart pyramids)

Investigating market data for Chiefland/McCauley proposal

PA Interviews

Re-drafting/legal review of PA contract

Development of PA credentials source data verification/Credentialing process

Development of PA Orientation process

Development of PA employment process

Proposed audit process for CodeRyte

Collection/review of corporate insurance documents

Medical Technology Management Institute

Developed and implemented Introduction to Imaging Management Course accredited by

the American Society of Radiographic Technologists.

Radiology Associates of Milwaukee

Accomplishments:

Group expansion to 21 radiologists

Implemented 8 facility additions during tenure 3 hospitals, 5 clinics

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Joint Venture Agreements

Increased gross billings 73%

Increased Net income to partners 34% in 6 years

Initiated CCI

RFP/Analysis/billing services change of billing services

Group restructure

Committee formation

Benefit package change

Initiated strategic planning

Administrative oversight of outpatient imaging center including marketing and strategic

planning

Community Memorial Hospital

Accomplishments

JCAHO commendation in 1995 after receiving a grid score of 98 out of 100 points

In top 100 hospitals by HCIA

Continuous Quality Improvement facilitator; various CQI projects accomplished

Developed business plans, financial analyses, and assessment plans of capital purchases in

Radiology, Nuclear Medicine, CT, Ultrasound, Radiography and Radiology Information System

Developed and implemented Competency Based Orientation program

Assisted in department expansion

Developed staff educational program

Implemented RIS system, teleradiology and miniPacs

Implemented commercial client accounts in mammography

Restructured all policies and procedures

Successful JCAHO, MQSA, FDA and ACR accreditations and inspections

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