HCPro, JustCoding Outpatient - 2017 Issue 31 (August)
Healthcare News: 2018 OPPS proposed rule introduces changes to radiology modifiers
August 1st, 2017
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Article Overview
This article covers a CMS outpatient prospective payment system proposed rule for 2018 that discusses changes to radiology-related modifiers used for data collection and reimbursement. It is relevant to hospital outpatient coders, radiology billing staff, and revenue cycle teams following CMS policy updates, modifier reporting, and imaging payment adjustments tied to federal legislation.
Why This Topic Matters
The proposed changes affect how certain imaging and radiation-related services are identified in claims and how related payment adjustments are handled. Readers following outpatient billing policy will want to understand the scope of the CMS proposal and the categories of services it affects.
What You Will Learn
- What the 2018 OPPS proposed rule addressed in relation to radiology-related modifiers
- How CMS proposed to handle modifier changes for certain service categories
- Which general types of imaging services were implicated by the proposed updates
- Why the cited federal legislation is relevant to imaging payment adjustments
Who Should Read This
- Hospital outpatient coders
- Radiology billing specialists
- Revenue cycle managers
- Compliance staff
- Healthcare reimbursement professionals
Codes Discussed
Modifiers Discussed
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