Radiology Question for the Week of May 16, 2022
MedLearn Publishing
May 15, 2022
What decision was made in regard to the final coverage for monoclonal antibodies and amyloid PET?
What decision was made in regard to the final coverage for monoclonal antibodies and amyloid PET?
Is there a code for the removal of a gastrostomy or other colonic tube?
Can we report 88112 with 88108 or bill the concentration separately using 88108?
Can we report 31622 if the operative report states that the tracheobronchial tree was evaluated with a bronchoscope and that sterile saline washings were recovered and sent for culture and cytologic examination is performed?
Our cardiologist first performed a diagnostic left heart catheterization, followed by selective injections into the left ventricle and coronary arteries. Next, separate and discrete PCI was performed on the following vessels: Right coronary artery DES, Diagonal PTCA, Branch 1 of diagonal PTCA, and Branch 2 of diagonal PTCA. Do you know how we would code for this?
Do you keep them under inpatient status? Or do you bring them in as outpatients and just keep them overnight? For our Medicare populations, in
Checking in on telehealth who is here to stay. Let’s do a check-up on telehealth. The prognosis: based on recent data, the use of telehealth
Some flareups may lead to readmissions within 30 days. We can all agree that we want to fully treat our patients’ acute problems that require
Happy National Nurses Week! When I was a resident in general surgery years ago, I was frequently told that my best friends would be the
Choosing a proper office visit code can become confusing unless one understands the rules separating preventive medicine and evaluation and management (E&M) coding. Problem-oriented E&M
Providers are beginning to embrace the concept of holism, as it pertains to healthcare management. When we hear the word “silo,” we tend to think
The tentative list includes 1,176 new diagnosis codes. The Proposed Rule for the Inpatient Prospective Payment System (IPPS) was released on April 18. The tentative
Medicare regulations are complex and even seasoned professionals struggle to apply them consistently. Due to overwhelming demand, Dr. Hirsch returns for Part 2 of Ask Dr. Hirsch: Clarifying Medicare’s Most Misunderstood Rules to answer even more of Medicare’s most misunderstood questions, covering inpatient status, observation, SNF access, Medicare Advantage denials, and more. Join Dr. Hirsch as he provides clear, referenced answers to real-world questions submitted by your peers, helping you navigate Medicare compliance with confidence and clarity.
Traditional utilization management models can no longer keep pace with regulatory shifts, payer scrutiny, and operational pressures. In this webcast, Tiffany Ferguson, LMSW, CMAC, ACM, ACPA-C, introduces an Adaptive Model strategy that modernizes UM through role specialization, technology-driven workflows, and proactive, team-based processes. Attendees will learn how to restructure programs to improve efficiency, strengthen clinical collaboration, and enhance financial performance in a rapidly changing healthcare environment.
Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.
In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.
Artificial intelligence is rapidly transforming healthcare revenue cycle operations, from coding and auditing to compliance and denials. Join industry leaders Pam Warren (MaineHealth) and Raemarie Jimenez (AAPC) for a live fireside chat exploring how AI is changing workflows, workforce roles, payer-provider dynamics, and compliance risk—and what organizations should be doing now to prepare.
Prepare for FY 2027 IPPS changes with a comprehensive 3-part masterclass covering ICD-10-CM/PCS updates, MS-DRG shifts, NTAPs, compliance risks, and reimbursement strategies.
Stay ahead of FY 2027 reimbursement changes with expert analysis of MS-DRG shifts, NTAP updates, Medicare Code Edits, and emerging technologies impacting inpatient payment accuracy.
Stay ahead of FY 2027 ICD-10-PCS changes with expert analysis of new procedure codes, revised guidelines, and high-impact updates affecting reimbursement, compliance, and inpatient coding accuracy.
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