ACR and RBMA Best Practices for Radiology Benefits Management Programs
The ACR and RBMA have developed best practice guidelines for third-party payors, managed care organizations (MCOs), radiology benefit managers (RBMs), and imaging providers for use when implementing or evaluating a Radiology Benefits Management Program (RBMP).
The College does not endorse RBMs or their approach to the marketplace, as there are better alternatives, but recognizes their current role in imaging utilization management and seeks to improve the strategies used by these programs regarding burdens created for providers and their patients.
The ACR is confident that, if implemented, these guidelines will result in a uniform process that would ease the administrative burden on payors/MCOs, ordering physicians, and imaging providers. These guidelines could function as benchmarks for RBM performance.
Please contact Kathryn Keysor, ACR Senior Health Policy Administrator at (800) 227-5463 extension 4950 or kkeysor@acr.org with any questions regarding these guidelines.
Click hereto read the ACR/RBMA guidelines for RBMPs.
