I’ve heard that pathologists are facing reimbursement cuts for 2022. Is this true?
What is the status of the appropriate use criteria? Did the final rule provide any updates?
Are there still coding and compliance risks posed with COVID-19 testing and protocol? Is there potential for audits in the future?
If my radiologist supervises a physician assistant (PA) performing a procedure in the radiology department of the hospital, and signs off on the report, can the radiologist bill the procedure under his name?
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
When reporting for appropriate use criteria in the future, what must be included in the claims?
For code 92941 is there a way of determining if the patient has subtotal occlusion or are we strictly left to rely on the physician to document that specific phrase?
For code 92941 is there a way of determining if the patient has subtotal occlusion or are we strictly left to rely on the physician to document that specific phrase?
How many separately timed specimens can we bill for when reporting 81050?
Regarding the Appropriate Use Criteria (AUC) program, CMS recently stated “Currently, the program is set to be fully implemented on January 1, 2022, which means AUC consultations with qualified CDSMs are required to occur along with reporting of consultation information on the furnishing professional and furnishing facility claim for the advanced diagnostic imaging service. Claims that fail to append this information will not be paid.” Our hospital images are read by an outsourced radiology group. Will the hospital still receive payment for the technical portion if AUC requirements are not met? Will the radiologist’s claim be completely denied?
Pre-MRI screening orbit x-rays – we keep getting denials for using T15.90XA due to being unspecified. Do you know what other codes would be appropriate? Would Z18.10 be a useable code for this?
T15.90XA Foreign body on external eye, part unspecified, unspecified eye, initial encounter
Z18.10 Retained metal fragments, unspecified
As discussed in several transmittals including the Quarterly Update for the Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment, the
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