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Catalog Number : ccb1492
Title : Radiology Coding & Documentation Best Pratices
Speaker : Stacie L Buck

Duration : 120 minutes

Webplay Recording Date : 8-19-2008
Webplay Price : $ 150 for two weeks viewing

Webinar Presenter: Stacie L. Buck, RHIA, CCS-P, LHRM, RCC

Webinar Title: Radiology Coding & Documentation Best Practices

Webinar Overview - General

You’ve got questions about how to appropriately document, code, and bill for diagnostic radiology test orders and we’ve got answers.

Orders for diagnostic radiology tests and the documentation required to code and bill these tests are crucial elements to proper reimbursement and compliance. Yet, it’s no wonder the topics of test orders and documentation confuse the most experienced healthcare professionals since determining who has the right to order an exam varies depending on facility and test.

CMS has specific requirements for not only obtaining orders for tests, but for how to maintain those orders. There are also rules for modifying test orders at the time of the exam. We show you how to use these guidelines to boost your bottom line. To illustrate these guidelines and concepts, our speakers will present case studies and answer frequently asked questions on 3D rendering, PET/CT, breast imaging, and ultrasounds.

You'll walk away with a solid understanding of the documentation process with examples.

Learning Objectives Include:

  • ACR Documentation Guidelines for Radiology Reports
  • Diagnosis Coding for Radiology Services
  • CPT Documentation Guidelines for Radiology Services
  • CMS Rules for Diagnostic Test Orders - Learn which rules apply to what settings
  • Coding Guidelines for Diagnostic Tests
  • Common Coding & Documentation Errors

The following are only a few of the topics to be discussed:

  • Screening Mammography
    • 77057
  • Diagnostic Mammography
    • 77055 & 77056
  • Diagnostic vs. Screening Mammogram
    • Implants
    • History of biopsy-proven benign disease
    • History of mastectomy
  • V76.11 vs. V76.12
  • E/M & Mammography
  • 76376/76377
  • PET 78811 - 78813
  • What is PET/CT?
    • PET/CT 78814-78816
    • PET/CT Images
    • PET & PET/CT
    • Orders for PET & PET/CT
    • Diagnostic CT with PET/CT
    • PET Scan and CT Fusion
    • 3D rendering with PET and PET/CT
    • PET Radiopharmaceuticals
  • Arthrography
  • MR or CT Arthrography
  • Duplex Scans
    • US & Duplex - To Code or Not to Code
    • US & Duplex - Orders
  • Ultrasound Guidance
    • US w/ US Guidance
    • US Guidance - Vascular Access
  • Lumbar Puncture
  • Myelography (Puncture)
  • Myelography - RS&I
  • Discography
  • Epidurography
  • Pain Management
  • Nerve Block
  • Diagnostic Test Orders
  • Hospital CoP
    • 42 CFR 482.26
    • 42 CFR 410.32
    • 42 CFR 410.33 - IDTFs
  • Chapter 15, Section 80.6 of the Medicare Benefit Policy Manual
  • Medicare Claims Processing Manual, Chapter 23, Section 10.1.2
    • Can a testing facility modify a test order or perform additional tests?
    • Are there any exceptions?
    • Does the referring physician need to include signs/symptoms or a diagnosis?
  • The “Official” Word on Diagnostic Test Orders
  • Question & Answer

Prerequisites for Participating:

Suggested Attendees:Compliance officers, auditors, radiology administrators and managers in hospitals and radiology practices, coders, managers

Attendance Certificate: Upon attending this course you will receive a 1.8 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.