| Build a strong foundation for reimbursement
Do you manage a radiology department or imaging center? Are you responsible for setting up and maintaining the radiology chargemaster? Regardless of the role, if you manage any phase of the radiology coding or charge capture process, you'll come to depend on this exhaustive how-to handbook. In fact, many of our customers use it as a foundation for building an accurate and up-to-date radiology chargemaster. Covering diagnostic, therapeutic and radiologic services and supplies, our book contains the practical answers you need to capture the correct reimbursement and keep your facility in full regulatory compliance. Highlights:
- Guidance and clinical examples for developing effective charge-capture processes
- Detailed discussions of education and training, revenue cycle management, documentation quality, chargemaster data quality (i.e., revenue codes), ongoing record reviews and coding audits, and data system cross-walk quality
- The latest updates to CPT® and HCPCS codes, specific to radiology
- How to correctly assign outpatient modifiers to radiology codes
- Explanations of significant issues related to the CMS Correct Coding Initiative
- In-depth coverage of status indicator changes and their impact
- Discussions of code changes within specialty areas, including echocardiography and radiation therapy
- FAQ sections answering questions asked by MedLearn customers
Findings from MedLearn consulting experts
MedLearn radiology experts speak from their real-world experiences regarding the potential benefits of Radiology Charge Capture Handbook to healthcare organizations:
To charge or not to charge for fluoro - "One question we hear periodically is 'Can we charge for fluoroscopy when it accompanies a surgical procedure?' As with many questions like this, the answer is 'It depends.' Many facilities experience a great deal of uncertainty in this area, and often they don't charge appropriately. In certain instances, they may be missing revenue opportunities. Radiology Charge Capture Handbook can help facilities determine when and how to correctly code for fluoro in conjunction with orthopedic, angiographic and other surgical procedures."
Q code nonpayment mystery solved - "A CFO asked us why his hospital wasn't getting paid for Q codes assigned for contrast materials. He didn't realize that the status indicator for those codes was changed effective in 2008 and that Medicare no longer pays separately for contrast. In this instance, I was able to copy and send him a section in the book which clearly explains the Medicare policy. "
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