Menu
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
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
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
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
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.
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
“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
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
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
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
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
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
Subscribe to receive our News, Insights, and Compliance Question of the Week articles delivered right to your inbox.
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.
Subscribe to receive our News, Insights, and Compliance Question of the Week delivered right to your inbox.
Address: 445 Minnesota Street, Suite 514
St. Paul, MN 55101
Phone: (800) 252-1578
Email: support@medlearnmedia.com
Hours: 9am – 5pm CT
Copyright © 2022 MedLearn Publishing. Powered by MedLearn Media.
