decisionhealth Newsletters, Part B News - 2019 Issue 6 (June)
Hip X-rays remain most common extremity test but MRIs take top dollar
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Article Overview
This article reviews Medicare Part B claims data for frequently billed extremity imaging services, comparing volume and revenue across common X-ray and MRI studies of the hip, foot, shoulder, and knee. It is useful for coders, billing staff, and imaging practices that track utilization trends, reimbursement patterns, and related claims-edit changes affecting outpatient radiology services.
Why This Topic Matters
High-volume imaging services can look similar from a utilization standpoint while producing very different payment results. The article helps readers understand which extremity studies are driving volume and which are associated with higher revenue, along with a payer-policy update that may affect claim reporting.
Article Sections
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Claims volume and revenue trends for extremity imaging
This section compares commonly billed extremity imaging services using Medicare claims data. It focuses on broad utilization and payment patterns across several joint and limb studies.
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Upcoming change affecting a commonly billed knee X-ray service
This section highlights a claims-edit update tied to a knee radiology service and notes a change in the number of allowable daily units. It places the update in the context of other frequently reported extremity X-ray studies.
What You Will Learn
- How Medicare claims data can be used to compare imaging service volume and revenue
- Which types of extremity imaging services are most frequently billed
- How payment patterns can differ between X-ray and MRI studies
- What general kind of claims-edit change is affecting a commonly billed knee imaging service
Who Should Read This
- Medical coders
- Radiology billers
- Revenue cycle staff
- Imaging practice administrators
- Compliance staff
Codes Discussed
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