Compliance Question of the Week

A patient comes in through ED as STEMI. Straight to CCL, LAD is the culprit vessel. DES placed, C9606. After LAD is stented and

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Is a physician’s prescription required for Medicare to cover a screening mammography?

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If we state “PRN Oxygen,” will this suffice when billing Medicare for oxygen?

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From a claims perspective, what are some red flags when reviewing infusion and injection claims?

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Latest News

2024 July PLA Codes Arrive

2024 July PLA Codes Arrive

The Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment contains a new series of PLA codes that

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Upcoming Events

Abdominal Interventional Radiology Coding

2024 Abdominal Interventional Radiology Coding

Focusing on diagnostic imaging and interventional abdominal/visceral procedures, this session will discuss the nuances in code choices for a full range of services, including visceral component coding, aortic endograft procedures, with guidance on when each code is appropriate to use, and how those code choices can change based on how the procedure is performed.

September 11, 2024
Advanced Nonvascular Interventional Radiology Coding: Complex Reports

Advanced Nonvascular Interventional Radiology Coding: Complex Reports

Elevate your knowledge of non-vascular IR coding and guidelines with our advanced IR case study webcast. Dissect 15 real-world operative reports and learn how to find the meat of the procedure to support and capture all codes accurately and maximize reimbursement. Chelisa Clark, CPC, COC, CIRCC, CPC-P, CPC-I will lead you in depth through pain, biliary, and renal intervention cases, ensuring that you walk away confident in your ability to successfully assign codes to complex reports.

September 18, 2024
Venous Studies Interventional Radiology Coding

2024 Venous Studies Interventional Radiology Coding

Covering venous imaging and interventional procedures, this session will discuss the differences and nuances in code choices with guidance on when each code is appropriate to use, how those code choices can change based on how the procedure is performed and examples explaining which codes are appropriate in different scenarios.

October 16, 2024
Pain Management Interventional Radiology Coding

2024 Pain Management Interventional Radiology Coding

Covering pain management IR procedures, this session will discuss the differences and nuances in code choices for a wide range of procedures including vertebroplasty, kyphoplasty, sacroplasty, epidural steroid injections and blood patches, facet joint injections, neurolytic destruction and more; with guidance on when each code option is appropriate to use, documentation requirements and common areas of noncompliance.  The 4 new 2023 C codes created by CMS for ASCs, why they were created and who should or should not use them, will also be discussed.

November 6, 2024

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