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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
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

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Radiology eNews

  • 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