Radiology Coding Alert
News Brief:
Good News! You Can Keep the Extra Cash
Published on Fri Aug 01, 2003
Due to the late implementation of the 2003 Medicare Physician Fee Schedule , Medicare carriers overpaid some practices for January and February claims using a higher conversion factor rate, which did not take effect until March 1 and this error worked to your advantage.
CMS initially announced that carriers would request reimbursement from these practices by using an automatic mass adjustment. Fortunately, on June 27, CMS announced that it would not require Medicare carriers to collect such overpayments. If, however, you alert your payer to any incorrect overpayments that you received for January and February claims, the carrier can still request a refund from your practice.
Other Articles in this issue of
Radiology Coding Alert
- NCCI Makes DEXA Scans and CT
If your physician orders more than one study to confirm a patient's condition, you had [...] - Add a Fifth Digit to That Hyperplasia Diagnosis
Radiology practices will finally be able to specify prostate hyperplasia and hypertrophy diagnoses, thanks to [...] - CMS Overhauls ICD-9 Codes
Radiologists see patients for many conditions, so don't be surprised when the following ICD-9 Codes [...] - You Be the Coder:
Can I Hold a Claim Until I Have a Dx?
Question: When we see a patient for a new problem, such as cough and fever, [...] - Modifiers -51 and -59:
Under the Microscope
Modifiers -51 and -59 have similar applications to tell the insurer that you performed separate, [...] - News Brief:
Good News! You Can Keep the Extra Cash
Due to the late implementation of the 2003 Medicare Physician Fee Schedule , Medicare [...] - Reader Question:
2 Feet Count as Multiple Scan Areas
Question: We performed a bone scan of both feet. Should we report CPT 78300 [...] - Reader Question:
Avoid Myocardial Codes for Extremities
Question: I performed a thallium scan of the lower extremity with SPECT and planar images [...] - Reader Question:
Report Diskography RS&I per Level
Question: If our radiologist performs diskography injections at multiple levels (such as L2-3, L3-4, L4-5), [...] - Reader Question:
Never Clone Your Notes
Question: In the July article Avoid Common Mistakes When Reporting Special Services, you advised against [...] - Reader Questions:
Report Hip Arthrograms Bilaterally
Question: Our radiologist performed bilateral hip arthrograms under anesthesia. Should I report CPT 27095 [...]
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