MedLearn

Keep your coding and billing up to date

The technology behind CT and MRI studies has advanced tremendously in recent years. At issue is whether your coding and billing practices have kept pace. Trust our CT/MR Coder book to walk you sure-footedly through the complexities, equipping you to receive the full appropriate reimbursement while avoiding compliance pitfalls. Highlights:

• Detailed guidance in billing for all codes defining CT and MRI procedures, by both hospital (technical) and physician (professional) entities
• Interprets the rules/regulations involving CT, CTA, MRI, MRA and MRV
• Assistance with common challenges, such as billing for MRA procedures and combination MRI procedures, reconstruction charges and coronary/cardiac CT/CTA studies
• Clarification of CTA procedures and the billing of contrast materials
• Coding tips by body section, along with assignable revenue codes
• Comprehensive RVU tables: physician work, facility, non-facility and total
• NEW FOR 2011:

  • Incorporates significant changes in radiology codes, particularly concerning the collapsing of multiple codes into one code (e.g.,  abdominal with pelvic CT and MRI with MRA)
  • New discussion of infusion therapy codes and how they may be used in conjunction with CT/MR services
  • Updated APC and RVU payment information
  • New information on medically unlikely edits (MUEs) and Correct Coding Initiative (CCI) policy

  
  

Findings from MedLearn consulting experts
MedLearn consulting experts speak from their real-world experiences regarding the potential benefits of CT/MR Coder to healthcare organizations:

Incorrectly coded CTA studies - "For CTA studies of the abdomen and lower extremities, we've identified several instances incorrect coding. Specifically, when these studies are medically necessary and documented correctly, providers may assign two codes; yet they frequently only use a single code. On the APC payment side, this under-coding translates to a revenue loss of approximately $328 per procedure. For physicians, this equates to a loss of 1.4 RVUs. CT/MR Coder explains when it is appropriate to use two versus one code."

Misapplication of 3D codes - "Providers put themselves at risk for noncompliance by continuing to assign 3D codes for services which do not warrant these codes. Codes 76376 and 76377 carry no additional APC payment (N status indicators), but they do represent additional professional (global component) payment ranging from $105 to $143 nationally. Interestingly, while these codes may be over-used in some instances, they are under-reported in non-CT/MR areas, such as intracranial angiography prior to embolization. Following the guidelines in our book can help prevent this type of erroneous coding."

CPT is a registered trademark of the American Medical Association

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