With change comes risk. Nowhere is this more true than with the numerous recent changes to coding for breast imaging and interventions. In many instances, documentation practices simply have not kept pace with the changes to coding.
Ultrasound and duplex studies constitute an inordinate number of overpayments due to the lack of complete documentation.
Safeguarding your radiology revenue stream starts with strict adherence to CMS requirements for diagnostic test orders, diagnosis coding and medical necessity.
Many clinical issues in radiology
— such as current cancer vs. history of cancer, injury vs. trauma and aftercare vs. follow-up — are difficult to distinguish under ICD-10-CM coding guidelines.
Our esteemed radiology coding expert, Jeff Majchrzak, is ready to help you make sense of modifiers for radiology services, enabling you to better interpret CMS rules and confidently resolve the thorniest compliance and billing issues.