​Denials related to surgical services continue to be a major pain point for providers, with payers banking on organizations being too busy to appeal. In our follow-up webinar, we revisited the key issues from the first session, expanding on strategies to effectively address surgical denials and ensure proper reimbursement.

​In 2006, the AMA’s CPT® Editorial Panel established six Category III CPT® codes to describe cardiac computed tomography angiography with contrast materials (cardiac CT services) effective January 1, 2006. In 2010, the six codes were replaced with three Category I CPT® codes, 75572, 75573, and 75574.  The three codes have been paid in alignment with the HOPPS payment rate methodology based on geometric mean cost, ranging from $175-$265 from CY 2015 through CY 2024.

​Magnetic Resonance (MR) safety is a critical concern due to the powerful magnetic fields and radiofrequency energy used in Magnetic Resonance Imaging (MRI) scans. The MR environment has the potential to pose significant risks to patients with implanted medical devices or foreign bodies. These objects may heat up, move, or malfunction, potentially causing harm. Prior to 2025, there was no specific way to report the extra effort involved in assessing and mitigating these risks before an MR exam or procedure. Now, providers can be reimbursed for the essential tasks required to safeguard these patients, including implant or foreign body evaluation, implant positioning or immobilization, safety consultation, and preparation of electronic devices. This change acknowledges the importance of MR safety protocols and supports the necessary steps to protect patients while maintaining imaging quality. 

​Stay on top of coding and reimbursement guideline updates for the new year with our comprehensive summaries of the CY 2025 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS) Final Rules. Packed with insights into key updates and changes impacting healthcare providers, these resources are essential for understanding how reimbursement, policy shifts, and coding updates will shape the year ahead. Don’t miss this opportunity to prepare your organization—download the full summary today by filling out the form below.

Denials for outpatient professional services continue to challenge healthcare providers, with their complexity often leading to delayed reimbursements and financial losses. In the final installment of our denials webinar series, we explored some of the most common causes of these denials, including authorization issues, noncovered services, bundling claims, and diagnosis-driven errors. Here’s a glimpse into what we covered and how this valuable information can help your practice avoid costly mistakes. ​

​As flu and COVID-19 vaccines become essential during peak seasons, ensuring accurate coding and detailed documentation is crucial. Vaccination documentation directly impacts reimbursement, compliance, and patient safety. Yet coding errors and missing details are common issues that healthcare providers face. This article breaks down the critical elements of vaccination documentation and offers practical tips for improving accuracy, helping practices navigate the intricacies of vaccination coding.

Inpatient denials can disrupt your practice’s revenue cycle, create administrative burdens, and lead to compliance risks. Our latest webinar tackled these challenges head-on, equipping you with strategies to overcome denials in areas ranging from coding complexities to documentation requirements.

Surgical procedure denials, particularly during the global period, can create substantial obstacles for healthcare practices—disrupting revenue flow and causing administrative headaches. In our recent webinar, we addressed these challenges head-on, providing solutions to help you manage denials and ensure accurate reimbursement. ​

​As healthcare continues to evolve, so too do the models that determine how providers are reimbursed for their services. With an increasing shift from procedure-based payments to those that rely heavily on diagnosis coding, ensuring your practice is prepared for these changes is essential for long-term success. The ICD-10-CM diagnosis code set, once considered secondary to procedure codes in reimbursement, is now playing a more central role, making precise documentation critical.

The first few years for a radiation therapist are unlike any other time in their career. They have learned a lot while earning their degree and obtaining their American Registry of Radiologic Technologists (ARRT) certification. However, they are just starting to gain real experience with patient care.  

While patient care remains the top priority for radiation therapists, it’s important to acknowledge their involvement in charge capture and billing. Who is better than the person providing the services to the patient to capture the representative codes? Even if they’re not tasked with reporting billing codes or fully grasping billing intricacies, therapists bear the responsibility of doing their best to get it correct.  
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