RP
Right Revenue
Payor
Radiology
100

What is RP's vision?

To transform Radiology

100

What was Right Revenue team's former name?

Contract Variance

100

What is a BUCHA?

BCBS, UHC, Cigna, Humana, Aetna

100

RVU stands for?

Relative Value Units
200
Name 3 fuel squad leaders

Alex Won

Keagan Scanlon

Freddie Richards

Basak Ertan

Blake Graves

Laura Galvin

Malea Reising

Mona Hingorani

Raechelle S

Sue Shaffer

200

How many lanes are there in Right Revenue? Name them

Underpayment Recovery

NSA

SPAs

200

Which parent payor does Great West belong to?

Cigna

200

What is the POS code for Office?

POS 11

300

FPBI stands for?

full practice billing integration

300
Name all RR team members that live in Texas

Kirston, Kasey, David

300

Who owns Meritain?

Aetna

300

Explain modifiers 26, TC, and 00

26 is professional, TC is technical, 00 is global

400

What is ITESA and what does it stand for?

Integrity, Teamwork, Excellence, Service, Accountability

400

What were the $ goals committed for 2023 for each of the RR lanes? (NOTE: NSA is not a $)

UR: 3.5M

NSA: 70%+ win rate

SPAs: 2.5M

400
Who owns UMR and Optum?

UHC

400

What procedure is 71045?

RADIOLOGIC EXAMINATION, X-RAY CHEST; SINGLE VIEW

500

What are the 5 practice principles of RP?

We are a practice, not a company

One practice, locally led

physician ownership

patients first

Radiology is a team sport

500

How many GeBBs teammates do we have? What is the FTE Bifurcation for each RR lane? 

SPA: 2

NSA/TDI: 48

Hot Payor/Legal: 33

Total: 83

500

Who owns HealthSpring?

Cigna

500

Describe what a surprise bill is

“Surprise billing” is an unexpected balance bill. This can happen when you can't control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider.