In Billing
Jan 13th, 2012
The American Board of Internal Medicine, American College of Physicians, American Academy of Family Physicians, and seven other specialty societies are joining to participate in the Choosing Wisely Initiative, an effort to decrease unnecessary health care spending and improve the quality of patient care. More specifically, the initiative aims to educate physicians and patients about ...
Oct 1st, 2011
A Coding Edge reader asks the following question: When magnetic resonance imaging (MRI) of the brain and pituitary are done on the same day (without and with contrast), should we report multiple units of 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences with ...
In Audit
May 13th, 2011
Approximately 33 percent of Medicare claims for diagnostic radiology interpretation and report services submitted in 2008 by hospital outpatient emergency departments (EDs) were paid in error, according to a recent report published by the U.S. Department of Health and Human Services (HHS)  Office of Inspector General (OIG). These claims should not have been paid, the ...
In CMS
Jul 30th, 2010
Practitioners, medical groups and clinics, and independent diagnostic testing facilities (IDTFs)—or any eligible professional who has billed for the technical component (TC) of a CPT® advanced diagnostic code in the past six months, for that matter—can expect to receive the first of five letters from a Medicare contractor by Aug. 13. The letter is a ...
In Billing
Apr 15th, 2010
The Health Care and Education Affordability Reconciliation Act of 2010 (HR 4872), signed into law March 30, sets the assumed utilization rate at 75 percent for the practice expense portion of advanced diagnostic imaging services. The fact that this bill delays assumed utilization rate changes from Jan. 1, 201o (as in the Senate-passed bill) to ...