New codes, conflicting guidelines and chronic areas of confusion have increased the revenue and compliance risks for providers of mammography and other breast imaging services. This is especially problematic given the high volume of these procedures — one repeated error or omission can add up to major revenue or compliance implications. Adding to the coding complexities are the differing guidelines for various payment methodologies, including no cost, copays and/or deductibles, for mammography exams – and the need to understand them all.
In 2019, more than ever, you must possess a clear understanding of official requirements for the process in its entirety – from order to exam through coding and billing. You can count on this webcast, presented by preeminent radiology coding expert Donna Richmond, BA, RCC, CIRCC, CPC, to impart the essential, practical knowledge you need to protect your payments and maintain full regulatory compliance.
What's on the agenda:
- A review of current CPT® and HCPCS codes specific to mammography, digital breast tomosynthesis, ultrasound and other breast imaging techniques; includes new codes and guidelines for:
- Breast MRI
- Fine-needle aspiration (FNA)
- Ultrasound elastography
- MR elastography
- Discussion of the differences in AMA vs. CMS coding guidelines for breast MRI and elastography, coupled with the need to understand both sets of guidelines in order to code according to payer preference
- A special focus on choosing the right codes for percutaneous biopsy, localization, post-procedure mammograms and specimen imaging
- Answers to frequently asked questions, such as: Can you charge for post-biopsy placement of localization devices?
- Clarification of Medicare requirements for diagnosis codes for mammography and ultrasound
- New government notification requirements to satisfy provisions of the Mammography Quality Standards Act (MQSA)
- Case examples that bring clarity to complex coding guidelines and documentation requirements
- Time permitting, answers to attendee questions
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