Justice, law and legal concept. Judge gavel and law books.

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

Read More
Concept of Legal court gavel on assorted cash, Close up.

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

Read More
Red and white blood cells in the vein. Leukocyte normal level

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

Read More
medical group of doctors biochemists, having online video call on laptop

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

Read More
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.

Read More
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

Read More
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

Read More
Diverse medical team working together at table in hospital.

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

Read More
Concept of Legal court gavel on assorted cash, Close up.

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

Read More
Young African nurse or assistant in uniform looking at doctor during work

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

Read More
Diverse medical team working together at table in hospital.

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

Read More
Nuclear Medicine! Radiology!

Insight on Radiopharmaceutical Localization of Tumor Code 78800

As you may remember, major changes including revisions, additions, and deletions were finalized in 2020 for (SPECT/CT) and myocardial PET for nuclear medicine services. Medical coders across the country may still struggle with understanding how and when to report related CPT® codes. Let’s break down some tips for code 78800

Read More

Subscribe

Subscribe to receive our News, Insights, and Compliance Question of the Week articles delivered right to your inbox.

Resources You May Like

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
Register Now

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
Register Now
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
Register Now

Trending News