Looking for help in Radiology Charge Entry and Capture? The wait ends!

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Looking for help in Radiology Charge Entry and
Capture? The wait ends!

• Radiology is a medical specialty that uses
  imaging techniques such as X-rays, MRIs, CT
  scans, PETs, and/or ultrasounds to diagnose and
  check for injuries or diseases/abnormalities
  within the human body and the physicians/imaging
  experts are known as radiologists. As the field
  is a niche, so is their medical billing and
  coding process cumbersome. For the practice to
  thrive, the billing and coding experts have to be
  aware of the latest rules and regulations, along
  with being updated on the individual payer
  guidelines. Moreover, a coherent charge entry and
  charge capture process must be followed as it is
  one of the chief areas in radiology medical
  billing.
•  
• According to ecareindia.com, In the medical
  billing charge entry process, created patient
  accounts are assigned with the appropriate
  value as per the coding and appropriate fee
  schedule. The charges entered will determine the
  reimbursements for the physicians service.
  Therefore, care should be taken to avoid any
  charge entry errors which may lead to denial of
  the claims.
• Charge entry in radiology
• Ensure that all encounter/patient visit forms
  have been received on a daily basis. Also, ensure
  that all the services that were rendered by the
  radiologist have been documented.

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Looking for help in Radiology Charge Entry and
Capture? The wait ends!

• Acknowledge all the forms and review them
  thoroughly for any errors or incomplete
  information. This includes verification of the
  patient account number before charges are entered
  into the system.
• Review daily logs and enter the charges which are
  mentioned on the charge sheet.
• Remember that all charges must be posted on the
  day of service.
• Before posting, thoroughly check all the fields
  afresh for accuracy.
• Ensure that the correct account has been selected
  of patients while entering the charges. Verify
  all the demographic data such as patient name,
  date of birth, address, etc. Also verify the
  patient account number recorded in the medical
  document (consisting of face sheets, physician
  diagnosis, labels, etc.) while selecting the
  account and patient.
• Ensure that charge reconciliation is completed by
  the next day (maximum) of the charge entry
  process. This will keep ample time as provisions
  to correct any errors before bill submission.
• Billing errors need to be identified, along with
  a defined process set for improving them in the
  future.
• In radiology, the person responsible for charge
  entry is also responsible for coding charge slips
  with the appropriate ICD-10 and CPT codes for apt
  reimbursements.
• Charge capture in Radiology

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Looking for help in Radiology Charge Entry and
Capture? The wait ends!
Firstly, a charge description master (CDM) must
be in place (especially for hospitals). An
unambiguous CDM must have one procedure
definition per procedure code. After checking
prices and codes, incorrect coding if still
occurs, is mainly due to a problematic charge
capture process. There technically should not be
multiple entries for the same procedure code.
This CDM should also be matched to RIS.
Compliances must be followed with respect to
modifiers. The pricing policy of the radiology
department/healthcare center too must apply to
all charges. According to radiologytoday.net,
There typically is an unintentional disconnect
between finance and radiology when it comes to
charging. The radiology IT staff is focused on
providing what technologists need to capture what
theyre doing and not necessarily focused on the
resulting charges. In many facilities,
opportunities can be significant. Be careful not
to put a specific dollar amount on the
anticipated opportunities lest your CFO budgets
the numbers to your detriment. Secondly,
diagnostic and interventional radiology
procedures are being billed in as bundled codes.
CDM must be updated regularly (every year) with
the set of charges for the new bundled codes.
Hospitals that deal in radiology charge capture
must note the prices of the new bundled codes in
the CDM and ensure that all procedural costs are
reported.
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Looking for help in Radiology Charge Entry and
Capture? The wait ends!
The third is the front-end edit resolution.
Either clearing houses/claim scrubbers/front-end
editors or radiology medical billing and coding
experts must review all fields before submission,
be it for modifiers, unbundling codes, or other
payer issues. As CMS has developed NCCI edits,
these edit rules should be followed as they
explain which procedural codes must not be
bundled together in radiology as they are
mutually exclusive or are a component of one
another. Pre-bill editing functions must be
performed and these bundling edits must be
applied before claims are filed.   Lastly, denial
management Radiology experts must ensure that
radiology-specific denials and rejections are
identified, tracked, and dealt with along with
all charges captured for garnering appropriate
reimbursements. In radiology, charge capture and
entry is extremely critical. It is essential to
provide patient satisfaction along with having
high financial success.   Medical Billers and
Coders (MBC) is a leading medical billing company
providing complete revenue cycle solutions. To
know more about our radiology medical billing and
coding services, contact us at info_at_medicalbillers
andcoders.com/888-357-3226.