decisionhealth Newsletters, Answer Books - 2009 Issue 1 (January)
Radiology Services / Billing of radiologic exam codes (2 views/minimum 3 views)
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Article Overview
This article covers Medicare billing guidance for radiologic examination services that are reported based on the number of views performed. It is intended for coders, billers, and revenue cycle staff who work with radiology claims and need to understand the broad documentation and claim-submission considerations discussed in the article.
Why This Topic Matters
Radiology claims can be affected by how many views are performed and how the service is reported on the claim. Understanding the article helps billing staff recognize the general approach discussed for submitting these services correctly and avoiding processing issues.
Article Sections
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Overview
Introduces billing considerations for radiologic examinations reported to Medicare and notes the importance of referring to the CPT book for radiology code selection.
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Examples of billing methods
Presents sample claim scenarios involving hand radiology services and illustrates the general handling of claim lines and reporting elements discussed in the article.
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Multiple-view services and claim flags
Summarizes additional Medicare processing considerations for examinations reported with multiple views and the general claim review issue described by the article.
What You Will Learn
- How the article frames radiology billing by number of views
- What general claim-submission considerations are discussed for Medicare radiology services
- What kinds of example scenarios are used to illustrate the billing topic
- What broader processing issue is mentioned for multiple-view radiology claims
Who Should Read This
- Medical coders
- Radiology billers
- Revenue cycle staff
- Billing compliance personnel
Codes Discussed
Modifiers Discussed
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