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Compliance Question of the Week

For Medicare hospital billing, if a planned PTCA is attempted but the balloon cannot be advanced across the lesion, can we bill for the attempted angioplasty?

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When testing is conducted on a single specimen source such as urine, do we need to report a modifier?

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What type of mammogram should a patient receive who has a personal history of biopsy-proven benign breast disease?

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For postmortem examination coding, how are the terms of newborn, infant, and macerated stillborn defined?

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Hospital Outpatient Infusion Services: 2023 Reimbursement & Compliance Update

Hospital Outpatient Infusion Services: 2023 Reimbursement & Compliance Update

With the pandemic creating financial problems for many operations and the great resignation weakening the knowledge of staff, every coding reimbursement dollar counts. Don’t let outdated or incomplete information sabotage your coding and compliance. Take away essential knowledge and actionable tips for resolving costly ongoing issues, from often lacking documentation for start and stop times, to properly charging for prolonged infusions, to ensuring medical necessity for hydration therapy and drug administration – both current audit targets.

December 8, 2022

2023 Nuclear Medicine Coding, Reimbursement & Compliance Review

With the pandemic creating financial challenges for many operations and the great resignation weakening the knowledge of staff, every coding reimbursement dollar counts. Nuclear medicine has been bombarded with a host of denials as coders continue to struggle with coding changes for planar, SPECT, SPECT/CT, and myocardial PET scans as well as the ever-changing NCCI edits. This session will address the biggest recurring challenges in nuclear medicine/PET coding and billing, plus must-know 2023 changes, such as expected changes to NCDs for PET procedures, potential deep cuts to reimbursement rates and new NCCI guidelines for PET/CT scans when CTs are read separately.

December 13, 2022

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