Asunto(s)
Codificación Clínica , Clasificación Internacional de Enfermedades , Degeneración del Disco Intervertebral/clasificación , Degeneración del Disco Intervertebral/diagnóstico , Desplazamiento del Disco Intervertebral/clasificación , Desplazamiento del Disco Intervertebral/diagnóstico , HumanosRESUMEN
It is important to remain current on the latest edit and modifier guidelines from the AMA, CMS, and your contracted payors. Failure to use modifiers correctly can result in under- or overpayments and can put a provider at risk of penalties. Also, since payors vary in how they adjudicate claims with modifiers, it is important to monitor payments for claims with modifiers to make certain you are being paid correctly.
Asunto(s)
Codificación Clínica , Diagnóstico por Imagen , Revisión de Utilización de Seguros , Reembolso de Seguro de Salud , Centers for Medicare and Medicaid Services, U.S. , Humanos , Estados UnidosRESUMEN
These ten items should cover many of the key issues impacting imaging. Every organization should create their own list on an annual basis and update it quarterly. Ensuring compliance with the myriad coding, reimbursement, and regulatory requirements is ongoing. Embrace the challenge, don't get discouraged and know that your efforts make a difference!
Asunto(s)
Codificación Clínica/normas , Reembolso de Seguro de Salud , Servicio de Radiología en HospitalRESUMEN
It would be easy to think that there is no way that there could be more coding changes, but alas, that is not the case. A new year is upon us and so are new coding changes. This year there are more changes for interventional services than regular diagnostic services but the new changes will impact every radiology organization. As of the writing of this article all of the supporting guidance that we look to for additional information is not yet available so more guidance will be needed to ensure proper code assignment. The following information will allow you to start on the update journey within your organization.
Asunto(s)
Codificación Clínica/métodos , Servicio de Radiología en Hospital , Radiología/clasificación , HumanosRESUMEN
There are always opportunities to improve processes within radiology. As radiology professionals, we pride ourselves on our willingness to adapt and improve in our realm of influence (personally and professionally). Don't neglect the opportunity to lend your interest and skills to the coding and billing areas that really can have a significant impact for your department and facility.
Asunto(s)
Codificación Clínica , Servicio de Radiología en Hospital , Humanos , Clasificación Internacional de Enfermedades , Neoplasias Pulmonares/diagnóstico por imagen , RadiografíaRESUMEN
Every organization and facility has issues that they need to address. There is no such thing as a perfect organization or a perfect process. It is easy to get overwhelmed and think the challenges are too big to tackle, but don't give up! While some issues may require immediate changes due to compliance concerns, most can be made one small step at a time. The phrase "success is a journey, not a destination" is very applicable here and for any area within our responsibility where change needs to occur. Change is our only constant so we might as well embrace it and look forward to the future with excitement on the new opportunities ahead.
