In CMS
Jul 1st, 2019
Transcatheter aortic valve replacement (TAVR) national coverage policy rules have been streamlined by the Centers for Medicare & Medicaid Services (CMS) as the minimally invasive intravenous procedure becomes more commonplace. However, it is still consider a clinical trial because of its relatively recent development. CMS said it will continue to cover TAVR under coverage with evidence ...
In Coding
Jun 10th, 2019
Verify the information of 11 items to be sure your radiology auditing is up to par. A medical coding audit is a process where an auditor samples coded claims to provide analysis and feedback to the provider and coding teams. Coding audits may be defined in several ways: Focused vs. Random: A focused audit covers ...
In Coding
Jun 1st, 2019
Ordering physicians will need to consult a qualified CDSM for advanced imaging studies — radiologist payment will depend on it. The Protecting Access to Medicare Act of 2014 (PAMA) mandated appropriate use criteria (AUC) beginning January 2017. This was in response to the rising cost of advanced diagnostic imaging studies including computed tomography, magnetic resonance ...
ICD-10 reporting of chronic obstructive pulmonary disease (COPD) services requires an understanding of common pathologies. When coding pulmonary disease, it helps to understand the underlying disease process. Let’s look at why pulmonary disease occurs and how circumstances affect ICD-10-CM code selection. Categorize Pulmonary Disease Pulmonary disease is divided into two basic categories: obstruct...
In Coding
Oct 12th, 2018
With the 2019 CPT® codebook still a few weeks away, there’s news of three new category I CPT® codes to report ultrasound elastography (USE), which will be added to the Radiology Section. Ultrasound elastographyworks on the principle that different tissue types within the body demonstrate different elastic properties. Abnormal tissue (e.g., a neoplasm) is “stiffer” ...