Woman lying still during the medical procedure

Top Things to Know About Breast Biopsy Coding

As discussed last month, new category III codes that could impact your interventional radiology coding services are now effective as of January 1, 2022. With these codes now active, interventional radiology providers and stakeholders should be aware of the scope of changes in place for the new year. New code

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RT Pulmonary Rehabilitation 2022 Explained

Pulmonary rehabilitation (PR) has experienced some changes in 2022 including new codes. By gaining better comprehension of this service, RT healthcare coding and billing professionals can help ensure accurate coding while safeguarding full reimbursement. Let’s take a look at some of the details and changes that will impact your coding

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At the Doctor! Radiology Imaging Machine!

SNMMI Criticizes CMS Final Decision on Amyloid PET Coverage

CMS reached its final judgment on coverage for FDA-approved monoclonal antibodies. These antibodies are used against amyloid for the purposes of Alzheimer’s disease treatment. The service occurs under Coverage with Evidence Development (CED) in FDA-approved, CMS-approved, or NIH-sponsored controlled trials with the national coverage determination (NCD) originally proposed in January.

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Diverse medical team working together at table in hospital.

Cracking Category III Codes for Future Success

As you may know from our previous insights, new category III codes were officially effective on January 1, 2022. With these codes now active, interventional radiology providers and stakeholders should be aware of the scope of changes in place for the new year. By understanding the changes, staff and coders

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Heart! Human Heart! Cardiology! Heart Health!

2022 Removal Intracardiac Vegetation Coding Knowledge

New category III codes that could impact your cardiology coding services and now effective as of January 1, 2022. With these codes now active, cardiology coders, providers, compliance professionals, and stakeholders should be aware of the scope of changes in place for the new year. New code 0644T mentioned in

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beautiful smiling doctor holding radiology diagnosis and looking at man lying on ct scanner bed

SNMMI Makes Specific Recommendations to CMS on Amyloid PET

The Society for Nuclear Medicine and Molecular Imaging (SNMMI) is challenging the Centers for Medicare & Medicaid Services (CMS) to expand coverage for Amyloid PET. CMS had previously issued a national coverage determination (NCD) analysis for Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease. The letter with

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Female GP doctor holding chest x-ray film scan

2022 Removal Intracardiac Vegetation Coding Knowledge Continued

As discussed last month, new category III codes that could impact your interventional radiology coding services are now effective as of January 1, 2022. With these codes now active, interventional radiology providers and stakeholders should be aware of the scope of changes in place for the new year. New code

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Patient getting infusion therapy

IV Hydration Coding Targeted Probe Reveals Stark Documentation Risks

IV hydration therapy is a key service where documentation remains a serious concern in terms of compliance. A recent Targeted Probe and Educate (TPE) review exposed the importance of conducting internal documentation review and providing crucial education for correct coding. By looking at some of the conclusions, CPT coders and

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Asian café owner man look frustrated to bills and payment for business in restaurant shop.

The ACR Arms a Legal Defense Against Surprise Billing

“Surprise” medical billing has launched itself into controversy this year, with a multitude of stakeholders sharing concerns and arming legal options in response. In a collaborative effort, the American College of Radiology (ACR), the American College of Emergency Physicians (ACEP), and the American Society of Anesthesiologists (ASA) filed a lawsuit

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Diverse medical team working together at table in hospital.

2022 Interventional Radiology Category III Codes Explained

As expected, new category III codes were officially effective on January 1, 2022. With these codes now active, interventional radiology providers and stakeholders should be aware of the scope of changes in place for the new year. By knowing the changes, staff and coders can prepare for a successful year

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The girl makes an inhalation for upper respiratory tract disease at home

2022 Remote Therapeutic Monitoring Coding Explained

Coding changes have arrived for 2022, and some key new codes are now available for respiratory therapy. These new codes are intended for remote therapeutic monitoring. With such new codes in play, coders and compliance officers may have several questions surrounding the coding. When is it appropriate to use each

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2023 Laboratory Coding Update

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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