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Auditing has many proven benefits for providers. Audits can help identify gaps, inconsistencies, and areas of risk not previously seen. In particular, weaknesses in charge capture of drug administration services and overlooked revenue opportunities are key reasons for putting together an audit practice. Historically, many professionals have defaulted to billing
As discussed last month, the 2023 Medicare Physician Fee Schedule (PFS) rule has arrived, released by the Centers for Medicare & Medicaid Services (CMS) on Tuesday, July 7, 2022. The proposed rule outlines potential updates to a variety of policies and provisions that dictate payment for many services included in
With as much as 10-30 percent of coding lost in errors and rendered inaccurate, now is a good time to review interventional radiology coding. Even more, radiology has experienced the great resignation, with a turnover in labor, with many facilities likely having brand new eyes and minds focused on coding.
Specimen collection can be an important part of performing respiratory therapy services. Which codes represent specimen collection services? There are several distinct codes for reporting these services. These include 36415, 36591, 36592, 36600, and 89220. Let’s review the fundamentals of each service to build success this year and beyond. Types
The 2023 Medicare Physician Fee Schedule (PFS) rule has arrived, released by the Centers for Medicare & Medicaid Services (CMS) on Tuesday, July 7, 2022. Radiology will once again experience a threat to payments as the pandemic continues to bring consequences for healthcare. As usual, the proposed rule outlines potential
Upper extremity interventional radiology coding is an important area to take to task when it comes to accurate coding. With the pandemic still taking its toll on the financial health of many facilities, coding correctly has never been more important with both reimbursement and compliance on the table. Several tips
Category I coding can prove challenging for numerous coders across the nation. How to apply these codes, what codes they can be used in conjunction with, and when these codes cannot be reported may spell trouble for coding and compliance. Let’s take a look at the rationale behind these codes
The COVID-19 pandemic and the public health emergency (PHE) continue to make waves as its tsunami of impacts sweeps deeply into the whole of healthcare. The multitude of implications includes a new policy draft discussion about preparing for future pandemics. The emerging legislation called the Prepare for and Respond to
Case studies are great learning tools for coders, providing an array of detail and rationale to enhance understanding. Here, we explore a case study related to venous access for correct coding. By examining case studies like these, coders can ensure success throughout the year. VENOUS ACCESS CASE: TEMPORARY DIALYSIS CATHETER
Interventional radiology coding remains some of the most complex to understand and report accurately. With error rates approaching 30% in many areas, there is a lot of opportunity for costly mistakes and omissions. When it comes to the biliary tract, there are a multitude of key components worth knowing for
Drug administration charge capture is an important aspect to review when it comes to infusion services, considering that drug administration is a significant component of many patients’ treatment and care. Coding an observation encounter (including when a patient may have arrived through the Emergency Department [ED] and been placed in
Anticipation is already building for end of the year annual coding changes. The American College of Radiology (ACR) released a preview analysis of some of the coding changes that may impact radiology providers and stakeholders come 2023 and even earlier. Among the changes include new Category 1 codes for percutaneous
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Empower you and everyone on your team with actionable solutions for laboratory coding, billing and documentation, plus the practical application of code changes for 2023.
One convenient webcast breaks down the ins and outs of 2023 CPT®/HCPCS code changes impacting both diagnostic and interventional radiology, and you will walk away with actionable insight on how to avoid high-risk practices.
Get updated on changes to coding, billing and compliance for nuclear medicine and PET services for 2023, while resolving areas of uncertainty and confusion.
Coding and compliance mean more than ever to your bottom line in these trying times. Take away essential knowledge and actionable tips for resolving costly ongoing issues, from often lacking documentation for start and stop times, to properly charging for prolonged infusions, to ensuring medical necessity for hydration therapy and drug administration – both current audit targets.
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