decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 7 (July)
Watch out for pay cuts on your MRI, CT and U/S services
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Article Overview
This article reviews a Medicare reimbursement change for select imaging services when multiple studies are performed in one session. It is intended for coders, billers, and imaging providers who need to understand the affected policy area, the CMS transmittal behind it, and the reference files used to identify impacted diagnostic imaging families. The discussion stays at a high level while pointing readers to the related Medicare resources and examples referenced in the article.
Why This Topic Matters
Imaging billing can be affected when multiple studies are performed together, so practices need to know which services fall under Medicare’s payment update and where to verify the applicable indicators in the fee schedule files.
Article Sections
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Medicare imaging payment change
Introduces the Medicare update affecting certain diagnostic imaging services performed in the same session and identifies the general policy area involved.
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Affected imaging services and payment components
Summarizes the imaging modalities and billing components discussed in connection with the revised payment treatment.
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Example of same-session imaging
Provides a broad illustrative example showing how the policy is discussed in relation to multiple studies performed together.
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How to identify impacted codes in CMS reference files
Describes the Medicare fee schedule resources and indicators referenced for identifying which diagnostic imaging services are included.
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Non-affected family combinations
Explains, at a high level, that the article contrasts services in different imaging families that are not treated the same way under the policy.
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Professional component treatment
Notes the article’s discussion of how the professional component is treated under the Medicare update.
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Official resources
Lists the CMS materials and reference links provided for readers who want to review the underlying guidance.
What You Will Learn
- How Medicare treats certain diagnostic imaging services performed in the same session
- Which broad imaging service categories are discussed in the payment update
- How CMS reference files are used to identify impacted imaging families
- What parts of imaging billing are addressed in the article
- Which official CMS resources are cited for further review
Who Should Read This
- Medical coders
- Billing staff
- Radiology practices
- Imaging providers
- Revenue cycle professionals
Codes Discussed
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