1. JANUARY 2013
IN THIS ISSUE
1.1
10 REVENUE CYCLE
CONCERNS FOR
RADIOLOGY GROUPS &
HOW TO FIX THEM
[WEBINAR]
[Webinar] 10 Revenue Cycle Concerns for
1.2 Radiology Groups & How to Fix Them
HOUSE PASSES BILL TO
AVERT FISCAL CLIFF An efficient and effective revenue cycle is the
bloodline of a successful radiology group.
2.3
FREE LIST: 2013 Radiology groups should routinely reevaluate
RADIOLOGY CODING the management of their revenue cycle.
CHANGES
With that in mind, we invite you to attend, 10
2.4 Revenue Cycle Concerns for Radiology
CMS RELEASES 2013 Groups & How to Fix Them.
PHYSICIAN FEE
SCHEDULE AND
ANNOUNCES 2013 SGR Presented by David Wold, CHBC, Chief Executive Officer, and
CUT Richard Sanchez, Director of Operations, at Healthcare
Information Services, L.L.C., this webinar will help you:
• Establish protocols to ensure total Charge Capture
• Understand how the affect Multiple Procedure Payment Reduction
(MPPR) will have your reimbursements
• Be better equipped to deal with insurance denials
• Identify unfulfilled payor contracts
• What you need to do to prepare for 2013 Coding changes and ICD-10
Space is limited, register today!
House Passes Bill to Avert Fiscal Cliff
In the early hours of January 1, 2013 the
United States Senate, by a vote of 89-8
F I R T Y adopted legislation that prevents the majority
of taxpayers from experiencing a tax increase;
(855) RING-HIS prevents the scheduled 26.5% SGR related cut
in physician fee schedule payments for one year
350 S. Northwest Highway
and delays the 2% across-the-board cut
Suite 200 in Medicare payments until early March.
Park Ridge, IL 60068
www.healthinfoservice.com Read more about the Fiscal Cliff and how it will affect you.
HEALTHCARE INFORMATION SERVICES, L.L.C www.healthinfoservice.com
2. Free List: 2013 Radiology Coding Changes
The principal coding changes affecting Radiologists in 2013 occur in the
Interventional Radiology Section of the AMA/CPT Manual. As in the past, we
continue to see the Relative Update Committee (RUC) address code pairs
reported together greater than
75 percent of the time.
These changes continue to affect both vascular and non-vascular intervention
codes by combining guidance and radiological supervision & interpretation codes
into the base procedure. Diagnostic Radiology had very little change with the
exception of clarifying the number of views necessary for a Cervical Spine x-ray.
The Nuclear Medicine had changes made to the Thyroid and Parathyroid codes
to appropriately describe the types of procedures performed in current practice.
The Ultrasound modality had an increase in work RVU’s for a few of the
extremity arterial studies. Download the list here.
CMS Releases 2013 Physician Fee Schedule
and Announces 2013 SGR Cut
The Centers for Medicare and Medicaid Services (CMS) released their
2013 Physician Fee Schedule on November 1st. For lots of medical
professionals, the new fee schedule may mean overhauling many of the
ways their business will be conducted. With the new plan, CMS is
looking deep into several things, with an overall goal of eliminating over
payments to hospitals for patient care and improving the delivery of
healthcare across the board. In order to avoid a negative audit,
physicians should pay close attention to the new plan and make the
necessary changes ahead of time.
Radiology offices need to pay particular attention because they will be hit with additional adjustments for
mis-valued codes on top of the SGR related cuts. For example, radiation oncology will see a -7%
payment adjustment while interventional radiology, nuclear medicine and radiology will each see a -3%
payment adjustment. Meanwhile, Radiation Therapy Centers are targeted for a -9% reimbursement
SGR adjustment. Read more about the Physician Fee Schedule now.
Have Questions? We’re happy to help.
Healthcare Information Services (HIS)
(855) RING-HIS
350 S. Northwest Highway, Suite 200
Park Ridge, IL 60068
www.healthinfoservice.com
F I R T
Y
HEALTHCARE INFORMATION SERVICES, L.L.C www.healthinfoservice.com