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 ...
Doing so requires understanding the 2019 coding changes for reporting these two services during the same session. Effective Jan. 1, 2019, new CPT® codes were introduced to report fine needle aspiration (FNA) biopsies. Proper coding of these procedures starts with an understanding of the new codes, as well as how they affect reporting of core ...
In Coding
Jun 6th, 2018
The answers to proper medical coding and reimbursement are not always transparent. From the referral to the claim submission, there are many opportunities for errors that result in a claim denial, improper payment, or even an audit. To secure proper payment, here is a checklist of five essential questions to ask yourself as you code ...
Train radiologists and physicians to work together to capture this deadly disease in the medical record. By Mary E. Wood, CPC, CPC-I There are certain hierarchical condition categories (HCCs) that specialists feel comfortable capturing, which include hypertension, diabetes, and chronic kidney disease. The manifestations of all three of these diseases find their way into multiple ...