Ultrasound: 4 things you should remember to bill ultrasound services correctly; OIG plans to look for excessive ultrasound usage in 2008

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is about ultrasound billing compliance in physician practices, with emphasis on Medicare oversight, utilization review, documentation, supervision, and procedure completeness. It is aimed at coders, billers, and practice managers who need to understand the general kinds of ultrasound claims issues that may attract denials or audit attention.

Why This Topic Matters

Ultrasound services are a frequent focus of medical necessity review and claim denial review. Understanding the broad compliance issues covered here can help practices assess whether their billing, documentation, and supervision processes align with payer expectations.

Article Sections

  1. OIG plans to look for excessive ultrasound usage in 2008

    Summarizes the government interest in ultrasound utilization and the Medicare billing context discussed in the article. It also introduces the regional usage focus and the general compliance concerns raised by consultants.

  2. 4 things to remember about ultrasounds

    Reviews the major billing and documentation areas highlighted for ultrasound services. The section covers diagnosis specificity, patient assessment, supervision, and adherence to CPT-based procedural requirements.

  3. In case OIG does come knocking, be prepared for a thorough inspection.

    Describes the types of records and materials that may be requested during a review. It reinforces the article’s compliance and audit-preparedness theme.

What You Will Learn

  • How ultrasound utilization review can affect physician practices
  • Why documentation quality matters for ultrasound claims
  • What general compliance areas are emphasized for ultrasound services
  • What kinds of records may be requested during an audit or inspection

Who Should Read This

  • Medical coders
  • Medical billers
  • Practice managers
  • Compliance staff
  • Physician office staff

Codes Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?