Basics of CT Scan Coding CT scan coding guidelines refer to a set of rules and principles used to assign appropriate codes to diagnostic imaging procedures performed using Computed Tomography (CT) technology. The purpose of these guidelines is to ensure accurate and consistent coding of CT scans across different healthcare settings, including hospitals, clinics, and […]
Understanding CT Scan Coding Guidelines
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Medicare Payment Conditions for Radiology Services
Medicare covers diagnostic and radiology services, but these services must be completed or supervised by a certified radiology physician. Both radiology and other diagnostic health services go under a patient’s Medicare Part B coverage. Radiology services are typically under a fee schedule. This means the payment is either the lower billing charge or the Medicare […]
5 Inefficiencies in Radiology Billing and Coding
Most radiology practices are currently feeling the pinch of deep reduction in imaging revenue and decreased volume. Based on an analysis of the change in imaging volume from Yale’s academic multi-specialty radiology practice, the group saw a 70 percent dip in outpatient imaging since the start of the COVID-19 crisis, including a 50 percent drop […]
Challenges to Radiology Medical Billing
Radiology medical billing has its own set of challenges. Unlike the rest of medical billing specialties, radiology billing has two components i.e., the professional component and the technical component. While billing for radiology, when a radiologist uses a radiology apparatus, dyes & machines, it must bill it under technical elements, whereas diagnostic results must be […]
Coding for Treatment Devices in Radiation Oncology
Coding for Treatment Devices Treatment devices, designs, and construction may be charged during a course of therapy when documentation substantiates multiple volumes of interest/ports, the use of custom-made devices, and/or the necessity of replacement devices. Providers should bill for devices at the beginning of the treatment course and then may bill again later in the […]
Role of Artificial Intelligence in Radiology
To understand the role of Artificial Intelligence in Radiology first we need to understand Artificial intelligence (AI): AI and machine learning and it will also be used to develop more clever algorithms that make CAD more intelligent. To achieve this, companies need high-quality data to generate high-quality data output with pathological proof. A data learning […]
Impact of Radiology Billing Mistakes on Reimbursement
There are many hurdles during the process of radiology billing reimbursement. Claim rejection and postponements are not only disappointing to your imaging center but also showcase the extended timeline inpatient care, idle machines, and wasted physician hours. From the past few years, imaging centers have observed an increase in prior authorization declinations. Furthermore, in some […]
Best Practices for Radiology Billing and Coding process
The radiology billing and coding was usually seen as a bulky process. It is quite difficult to stay upgraded on different changes in rules and regulations of an individual payer. Irregularity in billing and coding can occur in the tough radiology environment. Moreover, this can create hurdles such as lost or under-coded filing and the […]
Radiology Part B Billing for Hospital and SNF Patients
Acceptable HCPCS codes for radiology and other diagnostic services are taken primarily from the CPT-4 portion of HCPCS. Payment is the lower of the charge or the Medicare physician fee schedule amount. Deductible and coinsurance apply, and coinsurance is based on the allowed amount. For claims to A/B MACs (A) or (HHH), revenue codes, HCPCS […]
Top 3 Radiology Claims Denials and How to Avoid Them?
The goal of a well-managed radiology billing operation is to submit claims for services promptly and receive reimbursement as quickly as possible. Timely submission and prompt payment enhance the practice’s cash flow and keep the overall cost of billing at a minimum. All too often, however, payment is delayed because the payer denies the claim […]