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New 2022 NCCI Guidelines Arrive

With the 2022 National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services now available, the Centers for Medicare & Medicaid Services (CMS) have included new guidelines related to laboratory services. Provided below are the most noteworthy additions to Chapter 10 for pathology and laboratory services (CPT codes 80000–89999). Note

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2022 New Congenital Cardiac Codes

Coding for cardiology may contain some complex circumstances that lead to coding errors and denials. 2022 arrived with some noteworthy changes for cardiology coding, including new congenital cardiac codes. By grasping a better understanding of the codes and rationale behind them, cardiology CPT® coders and healthcare compliance professionals can better

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2022 Radiology Coding Changes

As expected, new and revised codes were officially effective on January 1, 2022. With the 2022 CPT® code files available, 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

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Reviewing the 2022 Proposed Medicare Physician Fee Schedule Rule

Radiology stakeholders are still working to understand and absorb the potential impacts of the 2022 Medicare Physician Fee Schedule (PFS) proposed rule released by the Centers for Medicare & Medicaid Services (CMS) on Tuesday, July 13, 2021, as the final rule approaches. Radiology will once again experience a threat to

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Subcutaneous Infusion Coding for Success

When it comes to subcutaneous infusion services, there are a few key codes worth examining for accurate reporting.  In 2008 the AMA introduced three new CPT® codes for the subcutaneous infusion of therapeutic or prophylactic substances. This method of administration is more commonly encountered in home infusion therapy services rather

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FDG PET NCD Coverage Contradictions Raise Confusion

In a small saga that has played out over the course of the year, transmittal 10838 released by the Centers for Medicare & Medicaid Services (CMS) on June 8th caused confusion and contradicted previous information released regarding the retirement of the National Coverage Determination (NCD) for 18F-FDG PET for infection

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Knowing How to Appropriately Code for Rupture Versus Aneurysm and Other Circumstances

Vascular embolization can prove challenging for many coders. Knowing the fundamentals of vascular embolization is important for successful CPT® coding. By gaining better comprehension of these services, healthcare coding and billing professionals can help ensure accurate coding while safeguarding full reimbursement. Let’s take a look at Understanding the circumstances and requirements

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2022 Coding Changes Preview Arrives for Radiology

Several changes and revisions are expected for radiology coding and guidelines come 2022. In an online posting titled “CPT 2022 Anticipated Code Changes,” the American College of Radiology (ACR) outlined a preliminary guide of changes that radiology providers should know for 2022. However, be aware that the code changes listed

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Examining Vascular Embolization or Occlusion Codes 37241 and 37242

Vascular embolization can prove challenging for many coders. Knowing the fundamentals of vascular embolization is important for successful CPT® coding. By gaining better comprehension of these services, healthcare coding and billing professionals can help ensure accurate coding while safeguarding full reimbursement. Let’s take a look at some of the details that

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Analyzing Non-Thrombolytic Agent Administration Coding

Interventional radiology has long been filled with complex procedures with non- thrombolytic agent administration being one area of challenge. Reviewing the fundamentals of  61650–61651 are important for successful CPT® coding. By gaining better comprehension of these services, healthcare coding and billing professionals can help ensure accurate coding while safeguarding full

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Comprehending Polysomnography Codes 95782–95783

Polysomnography continues to be one area of outstanding challenge when coding for respiratory and pulmonary services. Reviewing the foundations of polysomnography will help bolster successful CPT® coding and compliance. By gaining better comprehension of this area, healthcare coding and billing professionals can help ensure accurate coding while safeguarding full reimbursement.

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2023 Laboratory Coding Update

2023 Laboratory Coding Update

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.

December 15, 2022
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2023 Radiology Coding Update

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.

December 14, 2022
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Hospital Outpatient Infusion Services: 2023 Reimbursement & Compliance Update

Hospital Outpatient Infusion Services: 2023 Reimbursement & Compliance Update

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.

December 8, 2022
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