The expert guidance you need to tackle the 2020 coding overhaul and ongoing areas of difficulty
A year of historic change calls for clear, step-by-step guidance from one of the nation’s foremost experts. Expect nothing less when Donna Richmond delivers her take on the nuclear medicine coding overhaul of 2020. She’ll walk you through each new, deleted and revised code, including what the changes are, how the new codes compare – and are completely different – and tips for practical application to ensure your department is fully prepared for the new year.
You’ll appreciate the clarity Donna brings to new requirements, as well as recurring problem areas. For example, for 2020, many of the site-specific SPECT codes are being replaced by “generic” codes for planar, SPECT and SPECT-CT. Codes for tumors, inflammatory process, and distribution of agents are “folded into” the new generic codes. These changes will require a new decision-making process based on the number of areas imaged and the number of days the imaging took place over vs. what was imaged.
As she does every year, Donna addresses some of the biggest ongoing challenges in nuclear medicine/PET coding and billing, equipping you to achieve your revenue objectives.
This year more than ever nuclear medicine providers cannot afford to underestimate the coming changes. Don’t let changes turn into confusion and chaos – start the new year confidently.
- Guidance through major changes to nuclear medicine coding for 2020, including 28 new, deleted and revised CPT codes for SPECT and cardiac PET procedures – plus updates on payment rates which faced drastic cuts in the proposed rule
- Special help with areas of potential confusion caused by the 2020 changes, such as transitioning from site-specific or unlisted SPECT and SPECT/CT codes to a “generic” code set and from unlisted codes for myocardial PET to new bundled codes
- What you need to know and how you need to prepare for Appropriate Use Criteria (AUC) and clinical decision-making (CDSM) to ensure a smooth transition
- How to find and understand NCCI and other edits relevant to nuclear medicine
- An understanding of national and local coverage determinations applicable to nuclear medicine
- Help with areas of difficulty or confusion, such as NCCI edits for radiopharmaceuticals and the documentation required for limited and complete codes
- Case examples, using dictated reports, to illustrate common coding scenarios, reinforce key concepts and breakdown problem areas
- Time permitting, answers to attendee questions
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