Radiology Billing and Coding

Radiology Billing and Coding

Outsourcing billing responsibilities is common in the medical industry. The billing tasks for any medical practice require a specialized training and knowledge of codes to ensure accurate coding every time.  The same goes for radiologists and diagnostic radiology billing. It’s often a lengthy task that a medical office simply does not have the manpower to do.radiology medical billing

It’s a challenge for an office staff to keep track of billing and coding processes on track. Ineffective billing would adversely affect the practice’s income and stability. The payments entitled to the practitioners need to be backed up by sufficient documentation to successfully pass audit checks. Accuracy in billing also affects the practice’s integrity. Several reminders can make billing responsibilities a lot easier for the diagnostic radiology billing staff.

Keep Records up to date with Necessary Dictation Needs

Medical Billing for RadiologistsThe medical practices now are routinely audited by several firms requiring an accurate description of the service performed, otherwise known as dictation. With auditing roles performed under the guidelines of recovery audit contractors, and comprehensive error rate testing, the dictation needs are becoming more and more of a standard to meet accuracy rates.

Keeping up to date with the accurate verbiage will help eliminate the risks of costly appeals. Using the right verbiage also reduces the man hours spent researching for additional information long after the procedure or test is performed. A good example is when a physician is dictating a Computerized Tomography Angiography, the staff should include documentation, or if possible, 3D imaging.

Monitor Medical Necessity

Several radiology procedures and tests are not covered by Medicare, due to lack of medical necessity. In these cases, it’s imperative to submit an Advanced Beneficiary Notice or ABNs. This is to ensure that the patient is aware that the insurer may not pay the procedure or test.

Radiology billing companyABNs detail the list of procedures, tests and services that Medicare is not likely to pay for, and the reason behind the decision. ABNs generally reduce the risk of costly appeals for both the Radiology office and the patient.

Ensure that the ABN also lists the professional component fee. The physicians are typically aware of the services that can or cannot be covered by Medicare, and they usually provide ample advice to their patients before moving forward.

However, the staff can explain the ABN prior to the test done. Medical necessities are a technical issue, and the ABN provides the patient with ample options. Once the process is put in place, radiologists and the office will experience fewer patient write offs.

Review Templates

Most radiologists create templates to make sure that all relative information is properly documented in a report. Such templates should be reviewed periodically to make sure that the templates are up to date with the latest CPT codes. Whenever the office changes equipment, protocol, or technique, it’s imperative to update the templates used by radiologists as well.

Handle Report Discrepancies

DMedical Billing Neurologyiscrepancies are expected when dealing with billing practices. In radiology, the number of views is often the cause of discrepancies. Errors and discrepancies are expected, but not entirely inevitable. It’s best to spot discrepancies before a report is created. Careful analysis of end data will help the practice in identifying discrepancies when it occurs in a facility, or with a specific physician, or a specific exam.

For radiologists, getting every billable dollar at a low expense in billing seems like a stretch. Payments for radiology and diagnostic imaging often shift from insurers to patients, and at most times challenging to collect. In the current healthcare environment, radiologists need the expertise to handle cost-effective and consistent handling of reimbursements.

MPMR has been working with radiologists for two decades with expert medical billing. The expert certified coders and medical billing specialists help radiologists and imaging companies to maximize revenue along with providing contracting and credentialing services.

Call today for your free consultation with MPMR!

Our Expertise