In this session, we’re going to get technical about outpatient radiology services. Some review organizations have gotten technical too and have made this topic part of their focus. We won’t be discussing specific codes for reporting; but rather, we will be digging deeper into the technical billing requirements and issues that affect reporting of radiology services.

In this session we will:

  • Review the importance of modifiers for accuracy and payment;
  • Discuss how these services are billed under Medicare and the data elements needed for the claim form;
  • Discuss medical necessity; and,
  • Examine the top denial reasons and review focus areas for external reviewers such as the RAC’s.

Attendees will be able to:

  • Utilize learned information to make logical decisions regarding modifier use for radiology services.
  • Describe how and why radiology services are a focus of reviewers.
  • Apply rules for selecting the diagnosis and achieve medical necessity for reported services.
  • Describe key denial issues with radiology claims and apply the knowledge to assess internal processes.

Be sure to note your toughest questions when you register for this session to be presented Thursday, February 222018, at noon pm Eastern (9:00 am Pacific). Cost for this session is $189. Annual subscribers of are not billed. Not sure if you are a subscriber? Register for the session and we’ll verify your status.

The handout for this session will be emailed to the address you used when registering for the session.

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