Radiology Service HousingRadiologist Assistant Services
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A radiologist assistant on a night shift reviewing a chest radiograph while the emergency department runs behind glass

Onsite RRA coverage for community and rural hospitals

Your ED never closes.
Your imaging coverage should not either.

Radiology Service Housing places a credentialed Registered Radiologist Assistant inside your department: a trained second set of eyes on every plain film, a hands-on fluoroscopy and procedural extender, and a direct line to your radiologist, on the evenings and weekends when the gap is widest.

Request a 60-day pilot See the economics
  • R.R.A., R.T.(R)(VI)(ARRT)
  • CBRPA RPA
  • Nationwide coverage · Credentialed in NC, NY, MD, VA, WI

The after-hours gap

Plain films are most of the ED's imaging and the least covered.

Nearly half of emergency visits include a radiograph, yet in most community hospitals the radiologist is remote after 5 p.m. and the imaging department runs on a single technologist. Discrepancies between the initial read and the radiologist's final report, delayed callbacks, and missed critical findings cluster in exactly those hours.

An onsite RRA closes that gap without adding a radiologist FTE: image quality is checked before the patient leaves, urgent cases reach the radiologist first, and the radiologist's report gets back to the ordering team faster.

43.7%of U.S. emergency visits include a radiograph PA Patient Safety Authority
35%of reported ED radiograph discrepancies were clinically significant PA Patient Safety Authority
+113%increase in radiology report turnaround time since 2014 ACR testimony to Congress, 2026
45%of an onsite locum radiologist's shift cost buys an onsite RRA plus remote final reads see below

Know the role

What a Registered Radiologist Assistant is allowed to do, and where.

Who the RRA is

A Registered Radiologist Assistant (R.R.A.) is an advanced-practice radiographer certified by the ARRT after a bachelor's or master's RA program and a national examination. The RRA extends the radiologist's capacity in patient assessment, patient management, and selected imaging and interventional procedures, always under radiologist supervision. The role is defined jointly by the ARRT, the ASRT Radiologist Assistant Practice Standards, and the ACR–ASRT joint policy statement.

Supervision

Under the ARRT's entry-level clinical activities, the radiologist is responsible for every exam and sets the level of supervision for each task. Since the CY 2019 Medicare Physician Fee Schedule, diagnostic tests that would otherwise require personal supervision may be furnished by an RRA or RPA under direct supervision, meaning the radiologist is in the facility and immediately available, to the extent state law allows (CMS). Billing remains under the supervising radiologist; the RRA does not bill independently (ACR).

Patient assessment and management

Obtain consent, take histories, perform focused physical assessment, assess response to contrast and medications, and manage patients before, during and after procedures per protocol.

Image evaluation

Evaluate images for technical quality and completeness, and communicate initial observations only to the supervising radiologist. The radiologist alone interprets and issues the report.

Fluoroscopic and image-guided procedures

Perform delegated fluoroscopic exams and selected image-guided procedures, such as GI studies, arthrograms, myelograms, drains, biopsies and venous access, as granted by facility privileges.

Patient education and workflow

Educate patients and families, coordinate protocols and worklists, support quality programs, and act as the liaison between technologists, nursing, referring teams and the radiologist.

Outside the scope

No image interpretation, preliminary or final. No independent diagnosis, prescribing, or independent billing. No practice beyond the privileges the medical staff grants or beyond state law.

What we provide

Three ways to put an RRA on your floor.

Flagship

Onsite plain-film observation support

Scheduled evening, weekend, or daytime shifts in which the RRA reviews every plain radiograph for technical quality and positioning, triages urgent studies to the radiologist, records labeled initial observations for the radiologist only, and relays the radiologist's issued report to the care team.

  • Shift or multi-day block scheduling
  • Radiologist issues every report; no interpretation by the RRA
  • Monthly quality and turnaround metrics
Radiologist performing a barium swallow fluoroscopy study

Fluoroscopy and procedural support

Under radiologist supervision and within the privileges your medical staff grants: GI fluoroscopy, arthrograms, myelograms, image-guided drains and biopsies, venous access, and pre- and post-procedure patient assessment.

Interventional radiologist placing a central venous catheter under ultrasound guidance

IR department workflow support

Fifteen years of IR and neuro-IR operations experience: inpatient consult workup, protocol-based pre-procedure orders, recovery hand-offs, inventory and quality-control programs, and technologist mentoring.

Teleradiology option

Remote RRA support for teleradiology groups, with AI-assisted ultrasound and DEXA.

For groups that read remotely, Radiology Service Housing supplies an experienced RRA on a business-owned, diagnostic-grade remote workstation, so the group adds clinical capacity without buying, installing or maintaining equipment. Work happens inside the group's approved PACS, RIS, EHR, VPN or VDI environment.

Remote workflow functions

  • Review incoming studies for image completeness and technical quality, identify missing information, and escalate workflow issues per group policy
  • Prepare cases for the radiologist: relevant history, prior-study organization, protocol support, and structured initial observations under radiologist supervision
  • Perform CTA and 3D post-processing, reconstructions and presentation of processed datasets for radiologist interpretation under the required concurrent supervision
  • Support worklist coordination, documentation and communication inside the group's systems
  • Scheduled in-house fluoroscopy and procedural coverage at client hospitals when licensed, credentialed and privileged
Remote radiology workstation showing ultrasound, radiograph and bone-density images
AI-assisted

Ultrasound and DEXA support

Radiology Service Housing partners with advanced AI analysis platforms to pre-process ultrasound and DEXA bone-density studies: automated measurements, standardized views, prior-study comparison and quality flags are organized by the RRA so the radiologist opens a ready-to-read case.

  • Ultrasound: automated measurements, series completeness and view labeling, structured worksheets
  • DEXA: T-score and Z-score extraction, serial change comparison, positioning and analysis quality checks
  • Every AI output is reviewed by the RRA and finalized only by the radiologist; no AI result reaches an ordering provider as a report
$0Capital cost to the group: workstation, displays, dictation hardware, network, UPS and maintenance are provided by Radiology Service Housing
40 hrsTypical starting engagement per month, remote or in-house, scaling as volume and credentialing allow
100%of reports issued by the radiologist. RRA and AI output support the read; they never replace it
Edge-lit C-arm in a dark interventional radiology suite

"The RRA is a credentialed extender who works under radiologist supervision to enhance patient care and increase productivity, not a substitute for the radiologist."

Framing adopted from the ACR and ASRT joint policy on radiologist assistants ACR–ASRT

The economics

Onsite presence at a fraction of a locum radiologist.

Illustrative cost of covering one 8-hour plain-film shift with 40 films. Rates: general diagnostic locum radiologist at $415 per hour, the midpoint of the $385–445 range reported by Locums One; remote final reads at $12 per film, the midpoint of the $10–15 range reported by AstraRad.

$478,400Annual savings versus a daily onsite locum shift (260 shifts)
~145 minRadiologist minutes released per shift for the RRA shift to pay for itself in physician time alone
30 daysTermination notice; no long-term commitment, no recruiting fee, no benefits load

Figures are planning estimates from published market rates and are not a quote. A cost-benefit brief and an editable calculator are available on request.

How a pilot works

From first call to first shift in about six weeks.

  1. 01

    Discovery call

    Thirty minutes with your imaging director and radiology lead to map your ED volume, hours, and the shifts where coverage is thinnest.

  2. 02

    Scope and agreement

    A plain-language services agreement defines the shift schedule, supervision model, and metrics. Procedural services can be added later by addendum.

  3. 03

    Credentialing

    Allied health privileging through your medical staff office. Primary-source verification, licensure, BLS and ACLS, and references are ready to send.

  4. 04

    60-day pilot

    Shifts begin. You receive a monthly report on films reviewed, quality interventions, escalations, and time to radiologist contact. Continue, expand, or stop with 30 days' notice.

The RRA does

  • Check technical quality and positioning before the patient leaves
  • Prioritize urgent studies and reach the radiologist directly
  • Record labeled initial observations visible only to the supervising radiologist
  • Relay the radiologist's issued report to the ordering team
  • Perform delegated fluoroscopic and procedural tasks under supervision

The RRA does not

  • Interpret images or issue preliminary or final reports
  • Communicate findings to ordering providers before the radiologist reports
  • Bill independently; services are structured within radiologist supervision and hospital policy
  • Practice outside the privileges your medical staff grants

Built to pass credentialing review

Clear scope. No gray areas.

Every service is written to the ARRT's Registered Radiologist Assistant entry-level clinical activities and the ACR–ASRT joint policy: the RRA communicates initial observations only to the supervising radiologist and never provides image interpretation, preliminary or otherwise.

That is why our agreement describes "initial observation support," not "preliminary reads," and why every observation is labeled, hidden from ordering providers, and reviewed by your radiologist before any report is issued.

ARRT RRA Entry-Level Clinical Activities · ASRT RA Practice Standards

Daniel Heiser, Registered Radiologist Assistant and founder of Radiology Service Housing
Daniel HeiserMember Manager and Practitioner

Who you are hiring

Daniel Heiser, R.R.A., R.T.(R)(VI)(ARRT)

Daniel is a Registered Radiologist Assistant with more than fifteen years in interventional and neurointerventional radiology, including department leadership at Reston Hospital Center and MedStar Georgetown University Hospital and a decade training physicians on vascular and aortic devices in the IR suite and operating room. He is a Weber State University RA graduate, completed the Charles J. Tegtmeyer, MD Program of Angiography and Interventional Radiology at the University of Virginia, and is currently a medical student.

ARRT
R.R.A.; R.T.(R)(VI)
CBRPA
Radiology Practitioner Assistant
State credentials
New York Specialist Assistant and RT; Maryland RA; Virginia RT; Wisconsin RT; North Carolina (hospital-privileged)
Life support
BLS, ACLS

Where we work

Coverage in all 50 states.

Radiology Service Housing is based in Durham, North Carolina and contracts nationwide. Onsite shifts, multi-day assignment blocks and remote teleradiology support are scheduled around each hospital's needs; state credentialing is arranged as part of the engagement wherever it is required.

Credentials in hand

New York, Maryland, Virginia, Wisconsin and North Carolina today, so engagements in these states can begin as soon as hospital privileging is complete.

Licensure arranged for your state

Thirty-seven states and DC recognize the RA by license, certificate or registration; fourteen rely on the ARRT credential and facility privileges. We handle the application for your state as part of onboarding. See the State RRA information tab for your state's rules.

Remote, anywhere

Teleradiology workflow support, CTA and 3D post-processing, and AI-assisted ultrasound and DEXA preparation are delivered from a dedicated diagnostic workstation to groups in any state.

Start the conversation

Tell us about your coverage gap.

Send your ED volume, fluoroscopy volume, any interventional radiology needs and the shifts you worry about. You will get a tailored shift proposal, the services agreement, and a cost-benefit brief within three business days.

Radservicehousing@gmail.com 571-213-1702 Radiology Service Housing LLC · Durham, North Carolina

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