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Unpaid Radiology Claims in New Jersey: Incidence and Financial Implications

Lawrence C. Swayne1,2, Alan Fask3, Helen D. Stelletell2, John D. Fanburg4, Lynn Griffin5 and Jonathan H. Sunshine6,7

1 Department of Diagnostic Radiology, Morristown Memorial Hospital, 100 Madison Ave., Morristown, NJ 07960.
2 Morris Imaging Associates, 66 Maple Ave., Morristown, NJ 07960.
3 Fairleigh Dickinson University, 285 Madison Ave., Madison, NJ 07940.
4 Brach, Eichler, Rosenberg, Silver, Bernstein, Hammer, & Gladstone, 101 Eisenhower Pkwy., Roseland, NJ 07068-1067.
5 Dominion Medical Management, 4405 Cox Rd., Ste. 170, Glen Allen, VA 23060.
6 Research Department, American College of Radiology, 1891 Preston White Dr., Reston, VA 20191.
7 Department of Diagnostic Radiology, Yale University, New Haven, CT.



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  		Fig. 1. —Scatterplot of unpaid claims versus late claims for six payers during three claim submission periods shows fairly strong correlation (r = 0.73) between the two.

 


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  		Fig. 2. —Graph of percentage of 48,217 claims remaining unpaid from day of submission shows that claims not reimbursed by 130 days are unlikely to be paid.

 

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