Billing and reimbursement

CMS recently released updated guidance on billing intensity-modulated radiation therapy (IMRT) after an OIG audit found a 100% error rate in billing certain IMRT planning services.

Follow in the footsteps of leading organizations and get the most out of your denial programs with these four steps.

Q: How can coding and patient financial services staff work together to create an effective claims edit team?

To effectively report opioid use, abuse, and dependence, coding and billing professionals must be able to recognize symptoms of these disorders and interpret detailed ICD-10-CM guidelines. Additionally, they must be able to identify complications associated with opioid misuse and overdose.

Q: Are there reimbursement codes for transition services that case managers provide?

Modifiers -25 and -27 are used in the outpatient facility setting on E/M services. Learn more about how these modifiers should be applied in accordance with coding and Medicare guidelines.

NAHRI is hosting the 2018 Revenue Integrity Symposium (RIS) October 16–17 at the Wigwam Resort in Litchfield Park (Phoenix), Arizona. The conference is an important event for revenue integrity networking and education.

Q: What is a denial avoidance program and how does it differ from a denials management program?

The National Association of Healthcare Revenue Integrity’s (NAHRI) 2018 Revenue Integrity Symposium is a great opportunity to learn from and network with peers. There are many interesting and timely topics to be covered. I’m looking forward to many of my colleagues’ presentations and it’s difficult to single out just one; I’m also very excited about the sessions I’m participating in.

Learn about how providers can adhere to the latest regulations and guidance when coding and reporting chronic care management.