September 2013
In This Issue
1.1
Medicare
Releases 2014
Proposed Rule
for Radiology
HOPPS and ASC
Billing
1.2
Effective St...
Have Questions? We’re happy to help.
Healthcare Information Services (HIS)
(855) RING-HIS
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HIS Radiology eNewsletter- September 2013

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HIS Radiology eNewsletter- September 2013

  1. 1. September 2013 In This Issue 1.1 Medicare Releases 2014 Proposed Rule for Radiology HOPPS and ASC Billing 1.2 Effective Steps to Avoiding Denials in Radiology Billing 2.3 Multiple Procedure Payment Reduction (MPPR): The Basics 2.4 Using GEMs for ICD-10 Preparation www.healthinfoservice.com (855) RING-HIS 350 S. Northwest Highway Suite 200 Park Ridge, IL 60068 Effective Steps to Avoiding Denials in Radiology Billing The truth is, without the right foundation, your claims submissions may be fraught with errors or omissions that increase returns and denials. Often, the cornerstone necessary for a strong claims submission foundation is overlooked. The most critical step in submission is the gathering of information; if you don’t have the right information, you cannot submit a proper claim. In this free eBook, we outline steps to help you avoid denials in radiology billing. Click here to access now. Medicare Releases 2014 Proposed Rule for Radiology HOPPS and ASC Billing Breast biopsy codes 77031, 77032, 76098, 19103, 19290, and 19295 were identified as procedures that are reported together more than 75% of the time and therefore will be subject to the bundling in the 2014 proposed changes. These codes represent the biopsy codes, the guidance codes, the clip placement and the surgical specimen. Apparently they will no longerbe separately reported. The RBMA posted this proposed information regarding free-standing facilities. Click here to read more.
  2. 2. Have Questions? We’re happy to help. Healthcare Information Services (HIS) (855) RING-HIS 350 S. Northwest Highway, Suite 200 Park Ridge, IL 60068 www.healthinfoservice.com HEALTHCARE INFORMATION SERVICES, L.L.C www.healthinfoservice.com Using GEMs for ICD-10 Preparation October 1, 2014 is the deadline put in place by the Centers for Medicare & Medicaid Services (CMS) for switching to the ICD-10 standard for medical coding. The impending switch is an issue that many healthcare practitioners need to devote some time and effort to so that they will be able to adapt to it by this deadline. GEMs, or General Equivalence Mappings, allow medical firms to have a crosswalk between the older ICD-9 codes and the new ICD-10 codes so that they can increase their efficiency when considering how to prepare for ICD-10 conversion. In order to maximize the value that your practice receives from these GEMs, you must keep a few important concerns in mind. Click here to read the full article. Multiple Procedure Payment Reduction (MPPR): The Basics Physician billing can be complicated, especially if you work with Medicare. But even commercial companies impose a Multiple Procedure Payment Reduction, or MPPR, in some instances. Here at Healthcare Information Services, we want to make sure that you understand this insurance procedure, and why it occurs. Click here to read the full article.

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