Medicare Compliance & Reimbursement - 2019 Issue 10
Modifiers: Change in TC, PC Billing Policy Could Impact Your ED
Subscribe or sign in to view the full article.
Article Overview
This article covers a Medicare guidance update on date-of-service reporting for radiological services billed with technical and professional components. It is written for coders, billers, and revenue cycle staff in emergency department, inpatient, hospital, and radiology settings who need to understand how the policy affects claim timing and documentation. The discussion focuses on the general billing-policy change, the settings most likely to be affected, and practical workflow considerations for identifying the correct service date.
Why This Topic Matters
Accurate date-of-service reporting can affect claim processing for radiology services, especially in hospital and emergency department scenarios where imaging and interpretation may occur on different dates. Understanding the policy helps reduce billing errors and support smoother Medicare claim submission.
Article Sections
-
Break Down the New Policy Piece by Piece
Introduces the Medicare guidance update and its place in professional claim date-of-service reporting. The section frames the policy change in relation to radiological services billed without a global package.
-
See How the Physician Coders Are Affected
Describes how the update may affect physician and facility coding workflows, including hospital and emergency department scenarios. It also discusses documentation and claim-timing considerations related to interpretation and service dates.
-
Get Some Important Physician Background
Provides background on how imaging interpretation timing can vary by setting and urgency. The section contrasts general emergency, inpatient, outpatient, and elective radiology workflows at a high level.
What You Will Learn
- What Medicare guidance is addressing date-of-service reporting for professional claims
- Which care settings are most likely to be affected by radiology billing timing changes
- Why documentation review matters when imaging and interpretation occur on different dates
- How workflow differences can influence claim preparation in hospital and emergency department settings
Who Should Read This
- Medical coders
- Medical billers
- Radiology coding staff
- Emergency department coding staff
- Hospital revenue cycle staff
- Compliance staff
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com