AMA Clinical Examples in Radiology - 2014 Bulletin 1
Pricing Radiology Bundled CPT Codes Accurately
Pricing Radiology Bundled CPT Codes Accurately The following is an excerpt from "Pricing Radiology Bundled CPT Codes Accurately" by Pam Kassing, MPA, RCC, Melody W. Mulaik, MSHS, CRA, CPC, CPC-H, RCC, PCS, FCS, and James Rawson, MD, from the March/April 2014 issue of Radiology Management. Radiology practices are beginning to see the huge changes in the Current Procedural Terminology (CPT®) coding and reimbursement as a result of the Centers for Medicare and Medicaid Services' (CMS') efforts to identify misvalued codes. CMS defines "misvalued" to be codes that they believe are valued incorrectly since they are used frequently with...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article excerpt discusses how radiology coding and reimbursement are being affected by CPT bundle-code changes tied to efforts by CMS and the AMA. It is aimed at radiology practices and hospital staff who need to understand the broader payment and coding impact of bundled studies in office and hospital outpatient settings.
Why This Topic Matters
Bundled radiology codes can change how services are priced and paid, especially in hospital outpatient environments. Understanding the scope of these CPT and reimbursement changes helps practices monitor payment stability and related operational impacts.
What You Will Learn
Why bundled radiology CPT changes are being discussed
How CMS efforts to identify misvalued codes relate to radiology reimbursement
What broad billing and payment areas may be affected by code bundling
Why hospital outpatient payment stability is a concern
Who Should Read This
Radiology practices
Hospital outpatient billing staff
Coding professionals
Revenue cycle staff
Practice administrators
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