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The Power and Value of Auditing for Revenue Loss Prevention

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

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2023 Proposed PFS Rule Policies Examined

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

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Abdominal Angiographic Radiology Coding Tips

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.

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Breaking Down Specimen Collection Complexities for Respiratory Therapy

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

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Reimbursement Decreases on the Horizon With the 2023 Proposed PFS Rule

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

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Top Tips to Tackle Upper Extremity Interventional Radiology Coding

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

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Cracking 2022 Category I Coding

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

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PREVENT Pandemics Act Draft Holds Consequential Policies for Labs

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

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Venous Coding Case Example for Enhanced Understanding

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

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Overcoming Biliary Tract Coding Obstacles

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

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Cracking through the Confusion of Drug Administration Charge Capture

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

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ACR Releases Early New Analysis of 2023 Coding

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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2023 Laboratory Coding Update

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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.

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Hospital Outpatient Infusion Services: 2023 Reimbursement & Compliance Update

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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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