CPT code 77338 as maintained by the American Medical Association, is a medical procedural code under the range – Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services for Radiation Treatment. In the field of medical coding, accurate and up-to-date knowledge is crucial to ensure proper billing and reimbursement. One such code that plays a […]
In radiation oncology, specific CPT code categories have been established to capture the various aspects of treatment, including delivery, planning, and specialized techniques. These codes not only facilitate billing and reimbursement processes but also contribute to accurate communication and tracking of procedures within the field. In this article, we will explore the radiation oncology codes […]
The Radiation Oncology (RO) Model goals to improve the quality of care for cancer patients getting radiotherapy (RT) and move toward an easy and predictable payment system. The Radiation Oncology Model tests whether modality agnostic, bundled, site-neutral, prospective, episode-based payments to physician group practices (PGPs), hospital outpatient departments (HOPD), and freestanding radiation therapy centers for […]
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 […]
Con artists can try to get your patients’ Medicare Numbers or personal information so they can steal their identity and commit Medicare fraud. Medicare fraud results in higher health care costs and taxes for everyone. So, you will have to take care of all HIPAA compliances. Whether you have outsourced medical billing or hired staff […]
According to a new survey that confusion over COVID-19 medical coding and insurance claim requirements is one of the top effects the pandemic has had on revenue cycle management in the healthcare industry. Alpha Health conducted a survey through the Healthcare Financial Management Association’s Pulse program, they inquired 587 chief financial authorities and revenue cycle […]
The American Medical Association (AMA) implemented major changes to the 2021 Current Procedural Terminology (CPT) code set in an effort to streamline coding and documentation of office visits and other outpatient evaluation and management (E/M) services. Streamline E/M Coding These new modifications were designed to make E/M office visit and documentation simpler and more flexible. […]
Changes to the Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service – FFS) beneficiaries in situations where Medicare payment is expected to be denied. Skilled nursing facilities (SNFs) issue the ABN to transfer […]
Targeted Probe and Educate (TPE) is the process that a Medicare Administrative Contractor (MAC) can utilize when providers are selected by Medical Review. The TPE review process may include up to three rounds of a prepayment or post-payment probe review with education. CMS’s Targeted Probe and Educate (TPE) program is designed to help providers and […]
CMS is proposing changes to the Medicare Shared Savings Program (Shared Savings Program) quality performance standard and quality reporting requirements for performance years beginning on January 1, 2021, to align with Meaningful Measures, reduce reporting burden and specialize in patient outcomes. For the performance year 2020, CMS is proposing to share automatic full credit for […]
