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 […]

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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 […]

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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 […]

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Why documentation of procedure holds the key in Radiology Medical Billing?

Documentation of procedure is key in Radiology Medical Billing The brilliant principle for therapeutic charging has dependably been “If it’s not archived, it wasn’t finished.” For demonstrative imaging focuses, that is particularly valid, where exact repayment relies on very exact documentation and coding. What’s more, in case you’re not hitting the nail on the head, […]

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Radiology Billing and Coding: Best Practices and Changes for 2020

Radiology practices involve complex billing and coding. Practices find it tough to stay up to date. Radiology practices, like other specialty practices, offer a variety of different services like intrusive procedures, and other incursions to the patients in a variety of different settings. The charges for the services are dealt with differently depending on where […]

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Why Radiology Facilities Need to Update Their Technology for Reducing Partial Payment?

U.S.A healthcare providers are to adopt digital radiology (DR), the Medicare system will begin reducing payments for exams performed on analog x-ray systems starting in 2017. The year after that, sites using computed radiography (CR) equipment will also see payment reductions. The New Norms Medicare payments will be reduced by 20% for providers submitting claims […]

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Radiology Billing : Better Management Can Lift Revenue and Decline Your Denials

Radiology is the most fragmented specialty with primary patient care and consultation as the major focus. A radiologist plays a role as a consultant covering various medical imaging for other specialty diagnoses. A radiology practice is sequenced according to the geographic area, radiologist struggle with a different universal set of medical practices. It’s cumbersome for […]

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Inpatient and Outpatient Services from ASC Centers: Journey From Approved To Covered

Ever since their inception, Ambulatory surgery centers (ASCs), have been providing improved quality and customer service to the healthcare industry.  ASCs offer patients the opportunity to have selected surgical and procedural services performed outside the hospital settings. Ambulatory Surgery Centers (ASCs) perform more than 7 million procedures for Medicare beneficiaries needing same-day surgical, diagnostic and […]

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Augment Clinical Activities by Transitioning Your Radiology Practice to MIPS

As most Eligible Clinicians (EC) definitely know, MIPS will start to produce results for Medicare doctor reimbursement in 2019, however, those payment changes will be measured by performance reported for 2017, which is being named a ‘transitional year’ for the program. The reporting time frame for 2017 has been brought down to at least 90 […]

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