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Tag Archives: Radiology

“pelvic calcifications” on radiology scan’

I know this is interventional but I didn’t see a thread for Diagnostic Radiology.
I was hoping to find clarity with the radiologist’s wording for ‘pelvic calcifications’ as to what the diagnosis
code would be.
The radiologist almost always says ‘which are most likely phleboliths’. But with saying "most likely", I don’t think I should code as such, right?

When I look up definition……

Calcification in pelvis:
Calcification is the accumulation of calcium salts in a body tissue. It normally occurs in the formation of bone, but calcium can be deposited abnormally in soft tissue, causing it to harden. Calcifications may be classified on whether there is mineral balance or not, and the location of the calcification. Calcification may also refer to the processes of normal mineral deposition in biological systems, such as the formation of stromatolites or mollusc shells.

Phlebolith Definition……
A phlebolith is a small local, usually rounded, calcification within a vein. These are very common in the veins of the lower part of the pelvis, and they are generally of no clinical importance. When located in the pelvis they are sometimes difficult to differentiate from kidney stones in the ureters on X-ray.

I was thinking possibly just abnormal findings on abdominal radiology scan? R93.5 (??)

Medical Billing and Coding Forum – Interventional Radiology

Best Practices in Radiology Patient Billing

 Maximizing the patient experience is no longer limited to the achievement of clinical success. It is a critical component of the new, broader partnership between provider and patient – one that now encompasses conversations regarding not only service quality and cost, but also places a greater focus on practice billing processes in line with the higher demands inherent to the new patient consumerism trend.  

 


Radiology Billing and Coding Blog

Radiology Coding Company In Oklahoma

Most radiology medical practices and individual practitioners in the United States are looking for professional assistance to efficiently manage their diverse coding tasks. Accurate medical coding is very important when it comes to optimizing their collections. If your facility or practice is seeking radiology coding services, it is would be a good idea to look in Oklahoma. An experienced radiology coding company in Oklahoma can offer individual radiologists, group practitioners, hospitals, medical centers and clinics competent coding services at competitive prices.

Accurate Radiology Coding Services

Radiology coding companies in Oklahoma are well-equipped to provide quality radiology medical coding services. They employ certified medical coders proficient in HCPCS, CPT, ICD-9 codes and standards, and well aware of the latest government norms. They offer accurate coding solutions for interventional radiology procedures including ultrasound and diagnostic radiology imaging, as well as non-interventional procedures such as single or multiple views, standard radiographs, computerized tomography, contrast studies and magnetic resonance imaging. The core services of a reliable radiology coding company in Oklahoma would cover:

.Emergency room e-code evaluation
.Medical coding audits
.ICD-9 coding based on AMA and CMS guidelines
.ASCs – Ambulatory Surgical Centers Coding
.CPT medical coding
.Backlog coding resolution services
.Hospital/ in-patient coding
.DRG/ICD-9 CM coding validations

Locate an Established Company

Online resources are a great help when it comes to finding an established radiology coding company in Oklahoma. Searching web directories and the yellow pages with the zip code of the area would provide a comprehensive list of the companies in the location. Reading blogs, newsletters, articles and reviewing forum discussions are the other important ways of selecting a professional company for your coding needs.

Points to Consider while Choosing a Radiology Coding Company

Before choosing a radiology medical coding company for your medical facility, you would have to evaluate its services. The main points for consideration are:

.Whether its coding procedures strictly adhere to Local Medical Review Policies (LMRP) and Correct Coding Initiatives (CCI)
.Accuracy rates
.Whether the firm offers stringent quality assurance
.Whether its coding procedures are compliant with the HIPAA norms
.Whether it can offer comprehensive solutions in fast/customized turnaround time
.Pricing structure
.Whether it offers free trial options
.Whether it provide 24/7/ 365 technical assistance

The organized radiology medical coding services of a reputable radiology transcription company in Oklahoma can help you to submit error-free medical bills and claims within the specified time frame. This would avoid claim denials and help you obtain maximum reimbursements for your practice.

Radiology Coding Company – Outsource Strategies International (OSI) is a leading medical coding company in the US committed to providing fast and efficient medical billing and coding services.

The Top 3 Reasons for Radiology Claims Denials and How to Avoid Them

The goal of a well-managed radiology billing operation is to submit claims for services promptly and receive reimbursement as quickly as possible. Timely submission and prompt payment enhance the practice’s cash flow and keep the overall cost of billing at a minimum.  All too often, however, payment is delayed because the payer denies the claim for some reason. 


Medical Billing and Coding Blog

A Program for Successful PQRS Participation for Radiology Practices – Step 7

At Healthcare Administrative Partners, our mission is to educate practices on CMS Quality Programs and provide a path to optimized performance even in the most challenging markets. This is the final installment of our series of articles, “A Program for Successful PQRS Participation for Radiology Practices,” which was specifically designed to help you maximize reimbursement and reduce compliance issues under the Physician Quality Reporting System (PQRS).  So far we’ve covered…


Medical Billing and Coding Blog

How to Avoid Radiology Claims Denials – Eligibility Problems

Claims for reimbursement of radiology services are most often denied by the payer, whether it is Medicare or a commercial insurance company, because they contain inaccurate information about the patient’s eligibility for coverage. This can occur for many reasons, some of which may not be within the control of the radiology practice, but it usually can be corrected by improving the process of recording data at the time of patient registration. In this new healthcare economy where radiology practices are under pressure to add value to the patient care delivery system, effective management of claims denials can strengthen the relationship between the practice or imaging center and the hospitals they serve.


Medical Billing and Coding Blog

Reimbursement Benefits of Structured Radiology Reporting

Along with the entire healthcare industry in America, radiology is increasingly being asked to standardize its methods of practice. Radiologists’ reports have traditionally been free-text documents in formats that vary from physician to physician, even within group practices.  This individual style of reporting has become the radiologist’s personal signature on the work he or she has done with each patient exam but it does not lend itself to meeting modern requirements. 


Medical Billing and Coding Blog

How to Avoid Radiology Claims Denials – Authorization

This article continues our series focusing on how to avoid radiology claims denials. In our first article, we covered Patient Eligibility Problems.  Now let’s look at the topic of procedure authorization, specifically the failure to obtain proper authorization before the service is performed.


Medical Billing and Coding Blog

Keeping Your Radiology Practice Up to Date on Medicare Quality Reporting

Medicare-quality-reporting.pngThe Centers for Medicare and Medicaid Services (CMS) issued two reminders recently that physicians must be working constantly to maintain compliance with the Medicare quality reporting programs. The current regulations call for adjustment of the fees paid to physicians for services to Medicare patients based on annual measurement of the physicians’ performance under quality and cost metrics.  Radiologists must focus on their quality measures because the system assigns them to an Average Cost pool by default since they have little or no control over this factor.


Medical Billing and Coding Blog

Physician Orders for Lab, Radiology Services, and Other Services after ICD-10 Implementation


CMS is not requiring the ordering provider to rewrite the original order with the appropriate ICD-10 code for lab, radiology services, or any other services after ICD-10 implementation on October 1, 2015, including Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS).

Products and services that require a diagnosis code on the order will use ICD-9-CM codes if written prior to October 1, 2015. If the order is for a repetitive service that will continue to be delivered and billed after October 1, 2015, providers have the option to use the General Equivalence Mappings (GEMs) posted on the 2016 ICD-10-CM and GEMs web page to translate the ICD-9-CM codes on the original order into ICD-10-CM diagnosis codes.


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