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R&E 1: Scaling & AI in Imaging Centers – Interview w CEO Andreia Santos Lima

R&E 1: Scaling & AI in Imaging Centers – Interview w CEO Andreia Santos Lima

14 November 2025 Andy Milkowski

CEO Playbook: Financial Health, Staff Retention, and Automation for Radiology Efficiency

The first episode of the Radiology & Efficiency (R&E) series! We interview top executives about the strategies that drive imaging practices to excel. In each episode, we strive to bring to you insights regarding radiology efficiency.

In this episode, Andy Milkowski speaks with Andreia Santos Lima, CEO of ImageCare Radiology and The Medical Group of New Jersey. Andreia, who has worked as a CFO, designer, and sonographer, discusses how she utilizes scalability frameworks to inform her decisions, ensuring the business remains prepared for growth.

Andreia’s insights apply to both clinical and administrative workflows. She discusses the financial metrics she tracks weekly, why AI is the organization’s “friend in medicine,” and how the organization retains its staff. Let’s look at these plans more closely.

Watch the Full Interview

Episode Highlights: The CEO’s Strategies

The First Financial Metric

Accounts Receivable (AR) is the primary measure of Imaging Care Radiology’s financial health. To monitor collection trends, payer denials, and revenue, Andreia requires weekly management reports. The objective is to identify insurer trends promptly and optimize collection and denial processes.

AI in Administrative Workflow

While many focus on “Pixel AI” (imaging analysis), Andreia emphasizes the importance of AI systems to automate tedious tasks, such as filing claims and tracking errors.

  • AI identifies errors and accelerates the revenue cycle, resulting in less work for people.

She instructs her staff to prioritize tasks that AI can handle, allowing them to spend more time analyzing data and making informed decisions.

Keeping staff and stopping Burnout

Andreia notes her company maintains high retention and aims to keep open positions below 7%. This in an industry that struggles to attract talent. She leverages technology, such as Siemens Healthineers Teamplay software, to monitor health and productivity. “Table time” is a crucial metric showing how often technologists scan. It also enables sub-leaders to schedule breaks and watch for signs of burnout.

Building with the Future for Radiology Efficiency

Andreia believes that every process needs to be examined for scalability. Solutions need to be digital, easily accessible, and scalable to accommodate any number of providers.

Get in touch with us at Imorgon

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author avatar
Andy Milkowski CEO
I am proud to have made a meaningful impact on many lives by improving the utility of diagnostic ultrasound worldwide. For over 20 years, I have been part of the diagnostic ultrasound community in various corporate roles, including leadership roles in sales, product management, and research.  Working with both committed clinicians and extremely talented scientists, we have brought new capabilities to ultrasound.  We have enabled ultrasound to provide more information and across a large habitus of patients to Radiologists – allowing for a diagnosis without follow-up exams using contrast agents or radiation.  I have been thankful for my early training and education in statistics and engineering, which has allowed me to see the ‘signal from the noise.’  
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