MedLearn Publishing

Now available on CD & On-Demand

Dont wait for the auditors to take action!

Bone density tests have proved to be effective in the early detection and treatment of osteoporosis. But there is a potential glitch: MedLearn audits have uncovered numerous instances of overpayment for dual-emission X-ray absorptiometry (DXA) exams and other types of bone density tests. Are government and contract auditors taking notice? You bet they are. In one high-profile case, the Office of the Inspector General imposed a $2 million penalty on a Nevada radiology practice, due in part to DXA exams performed without the referring physicians orders. And this is just one of several potential coding and billing pitfalls that come with bone density testing. From this MedLearn webcast seminar, you will find out why your facility may be at risk and how you can prevent costly compliance problems. Highlights:

• Bone density testing basics, including a review of the different types of technology used, the allowable CPT codes for each and frequency limitations
• Restrictive payment policy the five qualifying circumstances set forth by Medicare and the widespread rule-out practice that can get you in trouble
• Common documentation shortcomings, including lack of medical necessity, missing test results or physician interpretation, and poor record keeping
• Conflicting guidelines what you need to know about local coverage determinations (LCDs) and possible conflicts with national Medicare policy
• Questions you must answer: Who is ordering your bone density exams? Are you billing for diagnostic studies that are really non-diagnostic screenings? When should you request a signed advance beneficiary notice?
• Key differences between Medicare payment policy and the policies of private insurers