Ask a Rev Cycle Expert: MRI Breast Imaging Reporting?

When magnetic resonance imaging (MRI) is performed on patients with a mastectomy, we perform the MRI on the remaining breast. For the breast that had the mastectomy, we image the chest wall and axillary area, and provide an interpretation. Should a bilateral or unilateral be reported?

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The Prior Authorization Process: Need-to-Know Changes for 2021

The CMS is updating the prior authorization process for hospital outpatient departments that began on July 1, 2020. As part of the 2021 Outpatient Prospective Payment System/Ambulatory Surgical Center Final Rule, CMS is adding Implanted Spinal Neurostimulators and Cervical Fusion with Disc Removal to the prior authorization process for services provided on or after July 1, 2021.

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Ask a Rev Cycle Expert: Laboratory Date of Service Reporting?

Regarding the date of service for lab tests that are sent out for processing, what is the date of service we should be reporting? Is it the date the lab specimen is collected, or is it the date the lab test results are completed?

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Ask a Rev Cycle Expert: Charging for New Codes 0662T & 0663T?

We are looking for guidance when to charge for these new codes (0662T and 0663T) as of July 1, 2021. Should both of these codes be charged every time the cooling system is used?

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Ask a Rev Cycle Expert: Facility Reporting of 95972?

Would it be appropriate to report CPT® 95972 for the facility side, when performed during the implantation, or during the replacement, of an InterStim™ generator?

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Charge Integrity Analytics Improves Revenue Recognition, Retaining More than $6M

MultiCare Health System (MultiCare) recognized it had an opportunity to improve its charge capture processes and reduce losses. The organization sought a solution that was scalable, reduced errors, and increased profitability.

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Articles

Ask a Rev Cycle Expert: MRI Breast Imaging Reporting?

The Prior Authorization Process: Need-to-Know Changes for 2021

Ask a Rev Cycle Expert: Laboratory Date of Service Reporting?

Ask a Rev Cycle Expert: Charging for New Codes 0662T & 0663T?

Ask a Rev Cycle Expert: Facility Reporting of 95972?

Charge Integrity Analytics Improves Revenue Recognition, Retaining More than $6M