TitleSummarySpecialtiesKeywordsLinkhf:doc_categories
Ultrasound Documentation ToolAt-a-glance summary of ultrasound coding elementsUltrasound, NIPS, Duplex Scans, limited US, complete USradiology
Interprofessional Consult ServicesInterprofessional services provided by consultative physician paid by CMS., Interprofessional services, Electronic health record assessment, Medical consult servicescoding practice-management
Unclaimed PropertyHow to search for and claim your practice’s Unclaimed Property, Unclaimed; Property; Escheatanesthesia practice-management
Ultrasound Screening for Abdominal Aortic AneurysmsDocumentation requirements for screening US study for AAA, AAA, Ultrasoundcoding radiology
Ultrasound Guidance (76937)Documentation requirements for reporting Ultrasound Guidance separately from the primary procedure, Ultrasound, 76937, CPTcoding radiology
CTA DocumentationDocumentation requirements for CTA proceduresCT, CTA, 3D reconstructions, MIP, Volume renderingradiology
Reporting Requirements for Moderate SedationBilling guidelines for moderate sedation services.moderate sedation, CPT 99151-99157, minimal sedation/anxiolysis, moderate sedation/analgesia, conscious sedation, deep sedation/analgesiaradiology
“Doppler” vs “Duplex”Documentation and coding guidelines for “doppler” and “duplex” ultrasoundUltrasound, doppler ultrasound, duplex ultrasound, gray scale ultrasound, color-doppler ultrasound, spectral analysisradiology
2024 Documentation GuidelinesSummary of 2024 documentation requirements for diagnostic procedures, Documentation, medical necessity, patient interview, 2024, guidelines, interventional, coding radiology
Y90 Radioembolization ProceduresDocumentation requirements and billing challenges for Y90 (yttrium) embolization proceduresembolization, Y90, yttriumradiology
2024 Elements of Medical Decision MakingMedical Decision Making checklist for common radiology services.E/M services, MDM, patient managementcoding
2024 QCDR Provider Documentation Guide – Radiology
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, , , QCDR, Measures, Denominator, Radiologycoding mips qcdr radiology
Evaluation and Management 2024 – VIDEOGeneral overview of E/M documentation and code assignment for 2024, E/M Services, MDM, video, radiology, 2024, G2211coding radiology
Coronary Fractional Flow Reserve (FFR)Code assignment and documentation requirements for Coronary Fractional Flow Reserve (FFR) to assess the severity of coronary artery disease.Coronary Fractional Flow Reserve (FFR), Ct, CTA, coronary artery diseaseradiology
Reporting Discarded/Waste Biologicals & Radiopharmaceuticals from a Single Use Vial (Modifier JW/JZ)To provide documentation for discarded drugs/pharmaceuticals and reporting zero waste or discarded drugs.JW modifier, JZ modifier, discarded drugs/pharmaceuticals,radiology
2024 QCDR Measure Specification File – Radiology
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, , QCDR, Radiology, 2024, Measures, Specificationsmips qcdr radiology
2024 QCDR Provider Documentation Guide – Pathology
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, , , Pathology, Measures, QCDR, 2024 coding mips pathology qcdr
2024 QCDR Provider Documentation Guide – Anesthesia
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, , , Anesthesia, MIPS, QCDR, Measures, 2024, Documentationanesthesia coding mips qcdr
2024 QCDR Measure Specification File – Anesthesia and Pathology
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, , , QCDR, Measure, Anesthesia, Pathology, Specifications, 2024anesthesia mips pathology qcdr
Chapter 7: Nuclear Medicine Documentation GuideNuclear Medicine has many documentation variables. This guide provides you with insight for capturing the most accurate codes with documentation., Planar, SPECT, PET, PET/CT, Radiopharmaceutical, Pharmaceutical, Single or Delayed, Perfusion, Ventilation, Muga, Initial treatment strategy, Subsequent treatment strategy, Coronary, Myocardial, Dementia, Brainradiology resident
Chapter 6: Ultrasound Documentation GuideHighlights the complexity of ultrasound documentation and the provides solutions for best practice documentation., AAA, Abdominal, Retroperitoneal, Kidney’s Duplex, Doppler, Obstetrical, Transabdominal, Transvaginal, Pelvic, Complete, Limited, Automated Breast Ultrasound, ABUS, US Needle placementradiology resident
Chapter 5: MRI/MRA DocumentationProvides insight into these higher dollar imaging services and the documentation requirements for coding correctly., MRI, MRA, IACs, MRCP, Whole body MRIradiology resident
Chapter 4: CT/CTA Documentation GuideCT and CTA at times can be a complicated documentation endeavor, with lots of overlapping information. This guide provides you with the detail you need to successfully navigate through the challenges of CT and CTA., CT, CTA, Protocol, Reconstructions, Contrast, 3D post-processing, MIP, CT Coronary, Low Dose CT, Breast CTradiology resident
Chapter 3: Mammography Documentation GuideProvides documentation insight for mammography and related services, Mammography, Tomosynthesis, Breast biopsyradiology resident
Chapter 2: Plain Film and Fluoroscopy Documentation GuideProvides insight into the proper documentation for plain films, Views, Films, Dexa, Bone Massradiology resident
Chapter 1: Documentation GuideAnswers the question “Why is documentation important to me?” Provides a foundation for coding and documentation for procedure and diagnosis codes. Defines medical necessity and the importance of high level of specificity and laterality. And solutions to avoiding denials., CPT, ICD, Signs and Symptoms, Medical Necessity, Denial, Rule out, Terms of uncertainty, Pre-op, MVA, Event, Query the Patientradiology resident
Common E/M Code Selection and TimeMost common radiology E/M CPT Codes associated with MDM and time.E/M services, MDM, CPT , consultation codescoding
CPT Reference Guide: CTReference guide for common CT CPT codes., CPT, CT, CTAcoding radiology
CPT Reference Guide: NM and PETReference guide for common NM and PET CPT codes., CPT, NM, PET, coding radiology
CPT Reference Guide: MammographyReference guide for common Mammography CPT codes., CPT, Mammography, Ultrasound, MRIcoding radiology
CPT Reference Guide: MRIReference guide for common MRI CPT codes., CPT, MRI, Brain, Chest, Spine, Pelvis, Upper Extremity, Lower Extremity, Abdomencoding radiology
CPT Reference Guide: UltrasoundReference guide for common US CPT codes., CPT Ultrasound codes, Ultrasound, US Head/neck, US Abdomen, US Vascular, US Pregnancy, US Kidney, US Extremitiescoding radiology
Pylarify – Vendor ResourceProper coding procedure for Pylarify®Pylarify, vendor, HCPCSvendor
Documentation Requirements for Co-Surgeon/Assistant SurgeonsDocumentation guidelines for services provided as a co-surgeon or assistant surgeon, including examples and appropriate modifiers, co-surgeon, assistant surgeon, modifier 62, modifier 80, modifier AS, CPTalerts-advisories radiology
Reporting Services for Midlevels/Physician ExtendersQualifications, covered services, employment relationship, payment, excluded servicesPA, NP, physician extenders, physician assistant, paymentradiology
Ordering Requirements for Diagnostic TestsReview requirements for ordering and following orders for diagnostic testsorders, diagnostic tests, interpreting physician, treating physicianradiology
Global Shortage of Contrast Billing and Documentation GuidanceRadiology departments are facing a global shortage of contrast. MSN is providing guidance from a documentation and billing perspective to help you navigate these waters.IV, contrast, shortage, CMS, documentationalerts-advisories
Anesthesia for Burn CareBilling and documentation considerations of Anesthesia for Burn Careburn, careanesthesia
Care Team Billing Modifier OptionsHybrid concurrency scenarios and modifier selection for non-physician practitionersAA; CRNA; Resident; SRNAanesthesia
2024 Medicare Physician Fee Schedule Proposed Rule – Pathology FocusedThe proposed 2024 Medicare Physician Fee Schedule was released on July 13, 2023 and includes a 2% cut from the current rate for pathologists, independent laboratories and other specialties., , MPFS, Pathology, 2024, MIPS, MVPs, Category III, Codescoding mips pathology
DynaCAD: 3D Reconstruction Modalities- MRI ProstateDynaCAD order and documentation requirements with examplesmagnetic resonance imaging, MRI, post-processing imaging, 3D reconstruction, DynaCAD, MAKO, planningradiology
Plain FilmsDocumentation guidelines for plain films.Plain filmsradiology
Mammography Q andACan unilateral screening and diagnostic mammograms can be ordered and performed as part of the same procedure?screening mammogram, diagnostic mammogram, unilateral, bilateral, symptomatic, asymptomatic, breast disease, ACR breast imaging, CPT, ICD-10,radiology
Radiology Practitioner Assistant (RPA)RPA qualifications, covered services, employment relationship, coding assignments & billing services, excluded servicesRPA, Radiology Practitioner Assistantradiology
PET ImagingCMS Medical Necessity requirements for PET imagingPET, NCD for PET, FDGradiology
Evaluation and Management Most Common Billing Q&AThe most common questions regarding E/M documentation; (How and when; consultation requirements)evaluation and management, E&M, E/M, consultation, billable consultationradiology
Consultation vs HP Prior to ProcedureDetermining if an E/M encounter prior to surgical encounters and/or interventions can be billed separately or is included in other servicesE/M, GSP, H & P, Consultationradiology
Cardiovascular Stress TestingCoding clarification and documentation requirements for cardiovascular stress testingSPECT, cardiovascular stress test, myocardial perfusion imagingradiology
Cardiac Split ReadsBilling options for CT cardiac split read studies.CT, CTA, CT coronary angiogram, split interpretationsradiology
Telemedicine Coding and Documentation GuideDocumentation of telemedicine servicestelehealth, E-visits, Virtual Check-In, E/M, E-Checkradiology
Prior Authorization (PA) Program for Certain Hospital Outpatient Department (OPD) ServicesCMS requirements for prior authorization of cosmetic or reconstructive procedures in the hospital outpatient department (OPD)prior authorization process, documented medical necessity, hospital outpatient department services, blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, vein ablationradiology
Medicare ABN of Non-CoverageUpdate from CMS regarding new ABN forms and instructions for January 1, 2021 implementation.ABN, Medicare, CMS-R-131, non-coverageradiology
Documenting MyelographyDocumentation requirements for myelograms vs intrathecal injections with post CT interpretation, and assignment of technical and professional codes when PA or NP injects the contrast mediamyelogram, myelography with CT, intrathecal contrast injections, surgical provider of serviceradiology
Documenting Breast TomosynthesisDocumentation guidelines breast tomosynthesisdigital mammography, CAD, digital breast tomosynthesis, mammography, documentation requirementsradiology
CT Cerebral PerfusionClarification of code assignment and documentation requirements for CT Cerebral Perfusion analysisCT cerebral perfusion, CPT, CPT category III, analysisradiology
Complete vs Limited UltrasoundDocumentation challenges for complete vs limited ultrasoundUltrasound, CPT, complete ultrasound, limited ultrasound, ACR Ultrasound User’s Guide radiology
Automated Breast Ultrasound (ABUS)CPT codes for ABUS, 3D coding and billing risks, documentationAutomated breast ultrasound, ABUS, CPT codes, 3D reconstruction codes, billing risks, documentationradiology
ElastographyDocumentation guidance for Elastography.Elastography, ultrasound, strain elastography, strain ratio, SWEradiology
Coding and Challenges for “Events – MVA, FELL, Etc.”Guidelines for documenting external causes or “events” that result in injury or trauma.Events, trauma, medical necessity, reimbursement, ICD-10-CMcoding
Telehealth and Telephone ServicesTelehealth and telephone services and encounters paid by CMS.Public Health Emergencies (PHE), Telehealth, Modifier -95; CPT 99441, 99442, & 99443practice-management
Screening For Lung Cancer with Low Dose Computed Tomography (LDCT)Summary of low-dose computed tomography screening eligiblityLDCT, Low Dose CT Lung Cancer, low dose computed tomography, lung cancer screening, risk factors lung cancer screening, eligibility, cancer screening registry, LCSR, Lung-RADS, radiology
Pre-TAVR ImagingDocumentation guidance for appropriate coding of Pre-TAVR studies., Transcatheter Aortic Valve Replacement, TAVR, Pre-TAVR imaging, Pre-TAVR assessments, coding radiology
Fluoro Images, Films from OR and Scout FilmsCoding and billing for services provided by other physicians or radiology technologists in the OR or patient bedside with the use of a C-arm.Scout films, C-arm, fluoro images, spot filmsradiology
Hospital Protocols and PanelsDocumenting, coding, and billing challenges for hospital protocols and panels., Hospital protocols, panels, evidence-based, standards of practice, orderscoding radiology
Documenting OB Ultrasound Fetal Biophysical ProfileDocumentation requirements for assigning fetal biophysical profile codes with or without performing an OB Ultrasound., US, BPS, BPP, Fetal Biophysical Profile, OB Ultrasoundcoding radiology
Documenting CT ColonographyDocumentation requirements for assigning appropriate ICD-10 codes & medical necessity requirements for CT Colonoscopy.CT, CT Colonography, Crohn's disease, Ulcerative colitis, ICD-10 diagnosis codesradiology
Bone Density StudyDocumentation for DXA studies, vertebral fracture assessments, and bone density studies.Bone density, vertebral fracture assessments, DXA, VFA, FRAX, DEXA Scanradiology
Non-Invasive Physiologic Studies (NIPS)To provide documentation guidance for NIPS.NIPS, doppler, duplex, ABIs, CPT 93922 & 93923radiology
Pelvic UltrasoundDocumentation requirements for pelvic ultrasound.Complete US, transabdominal US, transvaginal US, limited US, pelvic USradiology
Overlapping MRI ServicesDocumentation guidance for MRI services that may overlap areas of imaging.MRI, Diffusion-weighted imaging (DWI), fluid-attenuated inversion recovery (FLAIR), CPT codes 70551 – 70553radiology
Outside ReadsGuidelines for second reads, film consults, outside reads, contract bills and over readsACR Coding Source, outside reads, second readsradiology
Documentation Requirements for the Teaching FacilityDocumentation requirements for services performed in conjunction with residents, fellows and students; billing requirements for teaching physiciansteaching physicians, resident, GC modifier, E/M documentation guidelines; co-surgeon, surgical procedures, diagnostic services with surgical component, unacceptable documentation, studentsradiology
CT and CTA Same EncounterBilling challenges and documentation challenges for CT/CTA during same patient encounterCT, CTA, National Correct Coding Initiative, ACR, referring physician, documentation, clinical examplesradiology
Complying with Medicare Signature RequirementCMS guidelines for signature requirements.signature requirements, CERT, signature guidelines, medical recordradiology
Billing for Labs in the Office SettingRadiology Technical Component billing, laboratory services that might be used for pre-contrast enhanced studies.IDTF, CLIA, QW Modifier, preprocedural lab testing, diagnostic testsradiology
3D ReconstructionDocumentation requirements and coding guidelines for 3D reconstructions.3D reconstruction, CTA, MRCP, NeuroQuant, DynaCAD, Vital Images, TeraReconradiology
MRI Prostate Protocol and Prostate Contour StudyCoding and documentation challenges for MRI of the ProstateMRI, MRI Prostate, Prostate contour studyradiology
MRI and MRA Same EncounterDocumentation requirements to bill MRI/MRA during same patient encounterMRI, MRA, NCCI, ACR Coding Sourceradiology
MRA Abdomen, Pelvis and Lower ExtremityMRA of the abdomen with bilateral lower extremity runoff, including code assignment and coding rationaleMRA abdomen, MRA with bilateral lower extremity runoff, MRA, MR angioradiology
Treatment PlanningCode assignment for CT & MRI used in treatment planning for radiation therapy and other treatment options.Radiation Therapy, CT, MRI, Zimmer knee, treatment planningradiology
Whole Body MRI/CTDocumentation requirements for Whole Body MRI or CT, and MRI for Bone Marrow Blood Supply.Whole-body MRI/CT, Multiple Myeloma, Bone marrow blood supplyradiology
Level of Supervision RequirementsGuidelines regarding levels of supervision for diagnostic tests.Physician Fee Schedule, general supervision, direct supervision, personal supervisionradiology
2024 Medicare Physician Fee Schedule Proposed RuleWebinar: Barbara Rubel and Marissa Pearce discuss updates made to the Medicare Physician Fee Schedule for 2024., 2024, medicare, physician fee schedule, proposed rule, mips, value pathways, mvps, cost measures, medicare spend per beneficiary, MSPB, Total Per Capita Cost, TPCC, practice-education practice-management
Global Surgical PackageGlobal periods for Codes frequently reported by Interventional Radiologists.Global Surgical Package, Global Periods, surgical package radiology
2023 MSN Anesthesia Quality Measures Documentation Guide for Providers2023 MSN Anesthesia Quality Measures Documentation Guide for Providers, 2023, MIPS, QCDR, anesthesia, quality measures, documentation requirementsanesthesia coding
CPT and CMS Guidelines for Prolonged Care Code AssignmentCPT Instructions for Prolonged Services Reporting, CPT, CMS, prolonged care, prolonged services, reportingcoding practice-education
Documentation for E/M Services – Example Time StatementsTime documentation for E/M services and split/shared visits for inpatient/observation services., E/M, time documentation, split/shared visits, inpatient/observation servicescoding practice-education
2023 MSN QCDR- Radiology Provider Documentation GuidePhysician guide to MIPS Measures of documentation requirements, , 2023, QCDR, Measure 24, Measure, 47, 112, 128, 130, 145, 147, 226, 259, 317, 355, 357, 360, 364, 405, 406, coding mips radiology
2023 Medicare Physician Fee Schedule UpdateWebinar: Barbara Rubel and Marissa Pearce discuss updates made to the Medicare Physician Fee Schedule for 2023., , , 2023, webinar, Medicare, MPFS, physician fee schedule, CPT code changes, CMS, estimated impact, clinical labratory pricing, colorectal cancer screening, split visits, QCDR, quality payment program, MIPS, final rule, coding mips practice-education qcdr
OBL 3 – Office Based Labs: The Radiologist’s PerspectiveWebinar: Dr. Sean Tower discusses how a radiology group successfully incorporated outpatient IR care into an office based laboratory setting into their practice., , OBL, office based labs, interventional radiology, case study, practice-education practice-management radiology
OBL 2 – Legal Requirements, Internal Group Dynamics and Hospital PerspectivesWebinar: Mark Cunningham from Chambliss Law discusses the legal requirements of office based labs (OBLs) specifically looking at internal group dynamics and hospital perspectives., OBL, office based labs, reimbursement, state law requirement, federal law requirement, practice-education practice-management
OBL 1 – A Review of Office Based Lab (OBL) Basics – WebinarWebinar: A review of OBL basics presented by Claudia Murray and Keith Chew. OBL, ASC, AOH – Which is right for your practice?, OBL, ASC, AOH, webinar, video, office based lab, ambulatory surgical centerpractice-education practice-management
Using E/M to Build Your Practice: Dr. Katharine KrolWebinar Video + PDF Slides: Why IR should bill E/M codes (better patient care and financial impact); impact on referral patterns and use of diagnostic radiology studies; values of IR codes compared to E/M; case study Medical College of WI; documentation guidelines; developing an E/M strategy; business plan highlights to support E/M program; auditssurgical, global surgical package, documentation, reason for service, reason, pre-procedural, management, post-operative, proposed changes, final rule, E/M, E&M, 2021, table of risk, RVU, payment, MIPS, charge capture, PMD, pMDpractice-management
Improve Data Collection and Revenue for E/M: Mary HorkeyWebinar Video + PDF Slides: Review of coding changes and financial impact; the business case for E/M services; charge capture options; reporting services; identifying billable services; inpatient and outpatient documentation; case study; pMDE/M, E&M, inpatient, outpatient, charge capture, report services, pMD, PMD, documentation, case study, CPT, coding changes, financial, charge tickets, EHR, RIS, billable services,coding
What’s Happening with CDS…and What We’re Concerned About: Becca Goare, Rusty Harris, Deborah MacFarlane, Kim SnyderWebinar Video + Slides: A review of operational and coding issues associated with implementation of CDS/AUC, implementation guidelines, MSN readiness and testing, practical applications, coding and documentation guidelines, outliers, coding examples, CDS, AUC, CDS packets, test claims, QQ, charge report, demo, order, utilization, prior auth, authorization, EHR, RIS, decision support, G-code, CPT, modifiers, exceptions, adhere, MA modifier,coding practice-education
Pathology Coding Bulletin: Fine Needle Aspirate Coding SpotlightGuidance for pathology practices regarding correct coding for CPT code 88172, including description of an “evaluation episode” for that code, fine needle aspirate cytology, specimen adequacy, 88172, evaluation episode, cytopathology, ultrasound guided FNA, immediate study assessment, 88177, FNA with adequacycoding pathology
Clinical Decision Support (CDS) Companion GuideGuidance for radiology practices regarding implementation of the CMS Appropriate Use Criteria and Clinical Decision Support program, including a description of technical terminology and requirements.Clinical Decision Support (CDS), Appropriate Use Criteria (AUC), advanced diagnostic imaging service, Clinical Decision Support Mechanism (CDSM), claim requirements, modifiers, G-Codes, HL7, ORU messages, OBX, message specification, delimited record, message typesradiology
Quality ID #CCOME7: Patient-Reported Pain and/or Function Improvement after Total Hip Arthroplasty#CC0ME7: Quality ID #CCOME7: Patient-Reported Pain and/or Function Improvement after Total Hip Arthroplasty2022, mips, qcdr, hip arthroplasty, partient reported outcome, MCID, PROMs, THAqcdr
ePreop30: Ultrasound Guidance for Peripheral Nerve Block with Patient ExperienceMeasure: percentage of patients, age 18 years and older, who undergo upper or lower extremity peripheral nerve blockade and for whom ultrasound guidance is used and documented in the medical record and the patient is sent a survey within 30 days and the survey indicates experience with the nerve block, , patient's experience of care; person and caregiver-centered experience; outcome; positive experience; patient experience; patient survey returned; hospital; Anesthesia Quality Registryanesthesia mips qcdr
ePreop31: Intraoperative Hypotension Among Non-Emergent Noncardiac Surgical CasesMeasure: percentage of general anesthesia cases in which mean arterial pressure (MAP) fell below 65 mmHg for cumulative total of 15 minutes or more, , mean arterial pressure; MAP; patient safety; preventable healthcare harm; below 65; IOH; intraoperative patient vitals; anesthesia information management system; AIMS; non-emergency surgeries; elective and urgent; baseline MAP; hypotensionanesthesia mips qcdr
QCDR Measure Specification File – RadiologyQCDR Measure Specification Book Radiology: contains all 2022 radiology measures approved for the MSN QCDR radiology measures approved for the MSN QCDR, QCDR, radiology, CT head, acute stroke, calcium scoring, cardiovascular, QCDR, radiology, CT head, acute stroke, calcium scoring, cardiovascular, aortic aneurysm, IVC filter, ovarian, ovarian adnexal lesions, O-RAD, mammography, breast cancer risk score, DEXA/DXA, fracture risk assessment, osteopenia, lumbar puncture, NCCT head, ASPECTS, non-contrast CT head, CAC, coronary artery calcification, computed tomography heart, coronary calcium, AAA, ultrasound, ovarian mass, mammogram, breast MRI, FRAX, open pressure value, fluoroscopy guided lumbar punctureqcdr radiology
Quality ID #ACRAD 36ACRad36: Incidental Coronary Artery Calcification Reported on Chest CTNoncontrast chest CT, coronary artery calcification, incidental coronary artery calcification, CAC, coronary artery calcification scoringqcdr
Anesthesia Documentation Training 101Narrated PowerPoint presentation on Anesthesia billing and documentation conceptsAnesthesia; Billing; Documentation; Traininganesthesia
Query the Patient 5×7Gathering patient information to support documentationPatient interview, HPI, ROS, PFSHradiology
Query the Patient PosterGathering patient information to support documentationPatient interview, HPI, ROS, PFSHradiology
Ultrasound Guidance for Vascular AccessDocumentation challenges when using ultrasound to locate and gain entry into the access vessel for interventional radiology services.Ultrasound, vascular access, ultrasound guidanceradiology
Medical Necessity – Patient Questionnaire – PosterGathering patient history information to support medical necessity documentationMedical Necessity, E&M, patient historyradiology
Clarifying DXA Coverage (CPT® 77080)March 2021 Client Connection Newsletter article: Summary of screening DXA coverage policies among major insurance plans, #QMM19 MIPS Clinical Quality Measure for DEXA/DXA and Fracture Risk Assessment for Patients with OsteopeniaDXA denials, DEXA, indications, medical necessity, bone mass measurement, osteoporosis, #QMM19, MIPS, Medicare, Aetna, Cigna, Humana, UHC, BCBSradiology
Reporting Use of Provider Relief Funds – E-AlertInformation regarding the reporting of Provider Relief Funds {PRF}Provider Relief Funds {PRF}, Health Resources and Services Administration {HRSA}, COVID reliefalerts-advisories
Obstetrical AnesthesiaBilling and documentation for OB AnesthesiaOB; Obstetrical Anesthesia; Labor and delivery; Epiduralanesthesia
Healthcare Professional Shortage Areas (HPSAs)Summary of HPSA Bonus Payment ProgramHealthcare Professional Shortage Area, HPSAanesthesia
Anesthesia and Critical Access HospitalsAnesthesia billing options for CAH locationsCritical Access Hospitals; Method 1; Method 2anesthesia
Anesthesia and MIPS 2022: Why most practices will get hit with a penaltyAs the CMS’ MIPS program approaches the upcoming year, many anesthesia practices are unaware of the subtle program changes that will make achieving a bonus and averting a penalty much more difficult, should the CMS Proposed Rule become “Final” in early November. This article is intended to provide clarification on this matter and offer strategies to optimize your results., MIPS, anesthesia, 2022, QCDR, QR,anesthesia mips
Anatomical Pathology Coding ToolCoding by main specimen and typespecimen descriptionpathology
Coding for Special StainsSpecial stains – Add on stainsSpecial stains, histochemistry stains, cytochemistry stainspathology
Pathology AP consultations from outside providersGuidelines for billing outside consultationsConsult, outside reviewpathology
MSN Alert: Surprise billing update changes the rulesMSN Alert: Surprise billing update changes the rules, No Surprises Act, Independent Dispute Resolution, IDR, Qualified Payment Amount, QPA, out-of-networkalerts-advisories practice-management
Relievant – Vendor ResourceProper coding procedure for Relievant Intracept ProcedureRelievant, Intracept Procedure, vendor,vendor
No Surprises Act: What it does and howWebinar: No Surprises Act, understanding the impact on the hospital based practice. Delivered by Rom Howrigon, President & CEO of Fulcrum Strategies.No Surprises Act, balance billing, out of network, in network, qualifying amount, IDRradiology
Title Summary Categories Keywords Link hf:doc_categories
Ultrasound Documentation Tool At-a-glance summary of ultrasound coding elements radiology
Interprofessional Consult Services Interprofessional services provided by consultative physician paid by CMS. , coding practice-management
Unclaimed Property How to search for and claim your practice’s Unclaimed Property , anesthesia practice-management
Ultrasound Screening for Abdominal Aortic Aneurysms Documentation requirements for screening US study for AAA , coding radiology
Ultrasound Guidance (76937) Documentation requirements for reporting Ultrasound Guidance separately from the primary procedure , coding radiology
CTA Documentation Documentation requirements for CTA procedures radiology
Reporting Requirements for Moderate Sedation Billing guidelines for moderate sedation services. radiology
“Doppler” vs “Duplex” Documentation and coding guidelines for “doppler” and “duplex” ultrasound radiology
2024 Documentation Guidelines Summary of 2024 documentation requirements for diagnostic procedures , coding radiology
Y90 Radioembolization Procedures Documentation requirements and billing challenges for Y90 (yttrium) embolization procedures radiology
2024 Elements of Medical Decision Making Medical Decision Making checklist for common radiology services. coding
2024 QCDR Provider Documentation Guide – Radiology
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, , , coding mips qcdr radiology
Evaluation and Management 2024 – VIDEO General overview of E/M documentation and code assignment for 2024 , coding radiology
Coronary Fractional Flow Reserve (FFR) Code assignment and documentation requirements for Coronary Fractional Flow Reserve (FFR) to assess the severity of coronary artery disease. radiology
Reporting Discarded/Waste Biologicals & Radiopharmaceuticals from a Single Use Vial (Modifier JW/JZ) To provide documentation for discarded drugs/pharmaceuticals and reporting zero waste or discarded drugs. radiology
2024 QCDR Measure Specification File – Radiology
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, , mips qcdr radiology
2024 QCDR Provider Documentation Guide – Pathology
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, , , coding mips pathology qcdr
2024 QCDR Provider Documentation Guide – Anesthesia
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, , , anesthesia coding mips qcdr
2024 QCDR Measure Specification File – Anesthesia and Pathology
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, , , anesthesia mips pathology qcdr
Chapter 7: Nuclear Medicine Documentation Guide Nuclear Medicine has many documentation variables. This guide provides you with insight for capturing the most accurate codes with documentation. , radiology resident
Chapter 6: Ultrasound Documentation Guide Highlights the complexity of ultrasound documentation and the provides solutions for best practice documentation. , radiology resident
Chapter 5: MRI/MRA Documentation Provides insight into these higher dollar imaging services and the documentation requirements for coding correctly. , radiology resident
Chapter 4: CT/CTA Documentation Guide CT and CTA at times can be a complicated documentation endeavor, with lots of overlapping information. This guide provides you with the detail you need to successfully navigate through the challenges of CT and CTA. , radiology resident
Chapter 3: Mammography Documentation Guide Provides documentation insight for mammography and related services , radiology resident
Chapter 2: Plain Film and Fluoroscopy Documentation Guide Provides insight into the proper documentation for plain films , radiology resident
Chapter 1: Documentation Guide Answers the question “Why is documentation important to me?” Provides a foundation for coding and documentation for procedure and diagnosis codes. Defines medical necessity and the importance of high level of specificity and laterality. And solutions to avoiding denials. , radiology resident
Common E/M Code Selection and Time Most common radiology E/M CPT Codes associated with MDM and time. coding
CPT Reference Guide: CT Reference guide for common CT CPT codes. , coding radiology
CPT Reference Guide: NM and PET Reference guide for common NM and PET CPT codes. , coding radiology
CPT Reference Guide: Mammography Reference guide for common Mammography CPT codes. , coding radiology
CPT Reference Guide: MRI Reference guide for common MRI CPT codes. , coding radiology
CPT Reference Guide: Ultrasound Reference guide for common US CPT codes. , coding radiology
Pylarify – Vendor Resource Proper coding procedure for Pylarify® vendor
Documentation Requirements for Co-Surgeon/Assistant Surgeons Documentation guidelines for services provided as a co-surgeon or assistant surgeon, including examples and appropriate modifiers , alerts-advisories radiology
Reporting Services for Midlevels/Physician Extenders Qualifications, covered services, employment relationship, payment, excluded services radiology
Ordering Requirements for Diagnostic Tests Review requirements for ordering and following orders for diagnostic tests radiology
Global Shortage of Contrast Billing and Documentation Guidance Radiology departments are facing a global shortage of contrast. MSN is providing guidance from a documentation and billing perspective to help you navigate these waters. alerts-advisories
Anesthesia for Burn Care Billing and documentation considerations of Anesthesia for Burn Care anesthesia
Care Team Billing Modifier Options Hybrid concurrency scenarios and modifier selection for non-physician practitioners anesthesia
2024 Medicare Physician Fee Schedule Proposed Rule – Pathology Focused The proposed 2024 Medicare Physician Fee Schedule was released on July 13, 2023 and includes a 2% cut from the current rate for pathologists, independent laboratories and other specialties. , , coding mips pathology
DynaCAD: 3D Reconstruction Modalities- MRI Prostate DynaCAD order and documentation requirements with examples radiology
Plain Films Documentation guidelines for plain films. radiology
Mammography Q andA Can unilateral screening and diagnostic mammograms can be ordered and performed as part of the same procedure? radiology
Radiology Practitioner Assistant (RPA) RPA qualifications, covered services, employment relationship, coding assignments & billing services, excluded services radiology
PET Imaging CMS Medical Necessity requirements for PET imaging radiology
Evaluation and Management Most Common Billing Q&A The most common questions regarding E/M documentation; (How and when; consultation requirements) radiology
Consultation vs HP Prior to Procedure Determining if an E/M encounter prior to surgical encounters and/or interventions can be billed separately or is included in other services radiology
Cardiovascular Stress Testing Coding clarification and documentation requirements for cardiovascular stress testing radiology
Cardiac Split Reads Billing options for CT cardiac split read studies. radiology
Telemedicine Coding and Documentation Guide Documentation of telemedicine services radiology
Prior Authorization (PA) Program for Certain Hospital Outpatient Department (OPD) Services CMS requirements for prior authorization of cosmetic or reconstructive procedures in the hospital outpatient department (OPD) radiology
Medicare ABN of Non-Coverage Update from CMS regarding new ABN forms and instructions for January 1, 2021 implementation. radiology
Documenting Myelography Documentation requirements for myelograms vs intrathecal injections with post CT interpretation, and assignment of technical and professional codes when PA or NP injects the contrast media radiology
Documenting Breast Tomosynthesis Documentation guidelines breast tomosynthesis radiology
CT Cerebral Perfusion Clarification of code assignment and documentation requirements for CT Cerebral Perfusion analysis radiology
Complete vs Limited Ultrasound Documentation challenges for complete vs limited ultrasound radiology
Automated Breast Ultrasound (ABUS) CPT codes for ABUS, 3D coding and billing risks, documentation radiology
Elastography Documentation guidance for Elastography. radiology
Coding and Challenges for “Events – MVA, FELL, Etc.” Guidelines for documenting external causes or “events” that result in injury or trauma. coding
Telehealth and Telephone Services Telehealth and telephone services and encounters paid by CMS. practice-management
Screening For Lung Cancer with Low Dose Computed Tomography (LDCT) Summary of low-dose computed tomography screening eligiblity radiology
Pre-TAVR Imaging Documentation guidance for appropriate coding of Pre-TAVR studies. , coding radiology
Fluoro Images, Films from OR and Scout Films Coding and billing for services provided by other physicians or radiology technologists in the OR or patient bedside with the use of a C-arm. radiology
Hospital Protocols and Panels Documenting, coding, and billing challenges for hospital protocols and panels. , coding radiology
Documenting OB Ultrasound Fetal Biophysical Profile Documentation requirements for assigning fetal biophysical profile codes with or without performing an OB Ultrasound. , coding radiology
Documenting CT Colonography Documentation requirements for assigning appropriate ICD-10 codes & medical necessity requirements for CT Colonoscopy. radiology
Bone Density Study Documentation for DXA studies, vertebral fracture assessments, and bone density studies. radiology
Non-Invasive Physiologic Studies (NIPS) To provide documentation guidance for NIPS. radiology
Pelvic Ultrasound Documentation requirements for pelvic ultrasound. radiology
Overlapping MRI Services Documentation guidance for MRI services that may overlap areas of imaging. radiology
Outside Reads Guidelines for second reads, film consults, outside reads, contract bills and over reads radiology
Documentation Requirements for the Teaching Facility Documentation requirements for services performed in conjunction with residents, fellows and students; billing requirements for teaching physicians radiology
CT and CTA Same Encounter Billing challenges and documentation challenges for CT/CTA during same patient encounter radiology
Complying with Medicare Signature Requirement CMS guidelines for signature requirements. radiology
Billing for Labs in the Office Setting Radiology Technical Component billing, laboratory services that might be used for pre-contrast enhanced studies. radiology
3D Reconstruction Documentation requirements and coding guidelines for 3D reconstructions. radiology
MRI Prostate Protocol and Prostate Contour Study Coding and documentation challenges for MRI of the Prostate radiology
MRI and MRA Same Encounter Documentation requirements to bill MRI/MRA during same patient encounter radiology
MRA Abdomen, Pelvis and Lower Extremity MRA of the abdomen with bilateral lower extremity runoff, including code assignment and coding rationale radiology
Treatment Planning Code assignment for CT & MRI used in treatment planning for radiation therapy and other treatment options. radiology
Whole Body MRI/CT Documentation requirements for Whole Body MRI or CT, and MRI for Bone Marrow Blood Supply. radiology
Level of Supervision Requirements Guidelines regarding levels of supervision for diagnostic tests. radiology
2024 Medicare Physician Fee Schedule Proposed Rule Webinar: Barbara Rubel and Marissa Pearce discuss updates made to the Medicare Physician Fee Schedule for 2024. , practice-education practice-management
Global Surgical Package Global periods for Codes frequently reported by Interventional Radiologists. radiology
2023 MSN Anesthesia Quality Measures Documentation Guide for Providers 2023 MSN Anesthesia Quality Measures Documentation Guide for Providers , anesthesia coding
CPT and CMS Guidelines for Prolonged Care Code Assignment CPT Instructions for Prolonged Services Reporting , coding practice-education
Documentation for E/M Services – Example Time Statements Time documentation for E/M services and split/shared visits for inpatient/observation services. , coding practice-education
2023 MSN QCDR- Radiology Provider Documentation Guide Physician guide to MIPS Measures of documentation requirements , , coding mips radiology
2023 Medicare Physician Fee Schedule Update Webinar: Barbara Rubel and Marissa Pearce discuss updates made to the Medicare Physician Fee Schedule for 2023. , , , coding mips practice-education qcdr
OBL 3 – Office Based Labs: The Radiologist’s Perspective Webinar: Dr. Sean Tower discusses how a radiology group successfully incorporated outpatient IR care into an office based laboratory setting into their practice. , , practice-education practice-management radiology
OBL 2 – Legal Requirements, Internal Group Dynamics and Hospital Perspectives Webinar: Mark Cunningham from Chambliss Law discusses the legal requirements of office based labs (OBLs) specifically looking at internal group dynamics and hospital perspectives. , practice-education practice-management
OBL 1 – A Review of Office Based Lab (OBL) Basics – Webinar Webinar: A review of OBL basics presented by Claudia Murray and Keith Chew. OBL, ASC, AOH – Which is right for your practice? , practice-education practice-management
Using E/M to Build Your Practice: Dr. Katharine Krol Webinar Video + PDF Slides: Why IR should bill E/M codes (better patient care and financial impact); impact on referral patterns and use of diagnostic radiology studies; values of IR codes compared to E/M; case study Medical College of WI; documentation guidelines; developing an E/M strategy; business plan highlights to support E/M program; audits practice-management
Improve Data Collection and Revenue for E/M: Mary Horkey Webinar Video + PDF Slides: Review of coding changes and financial impact; the business case for E/M services; charge capture options; reporting services; identifying billable services; inpatient and outpatient documentation; case study; pMD coding
What’s Happening with CDS…and What We’re Concerned About: Becca Goare, Rusty Harris, Deborah MacFarlane, Kim Snyder Webinar Video + Slides: A review of operational and coding issues associated with implementation of CDS/AUC, implementation guidelines, MSN readiness and testing, practical applications, coding and documentation guidelines, outliers, coding examples , coding practice-education
Pathology Coding Bulletin: Fine Needle Aspirate Coding Spotlight Guidance for pathology practices regarding correct coding for CPT code 88172, including description of an “evaluation episode” for that code , coding pathology
Clinical Decision Support (CDS) Companion Guide Guidance for radiology practices regarding implementation of the CMS Appropriate Use Criteria and Clinical Decision Support program, including a description of technical terminology and requirements. radiology
Quality ID #CCOME7: Patient-Reported Pain and/or Function Improvement after Total Hip Arthroplasty #CC0ME7: Quality ID #CCOME7: Patient-Reported Pain and/or Function Improvement after Total Hip Arthroplasty qcdr
ePreop30: Ultrasound Guidance for Peripheral Nerve Block with Patient Experience Measure: percentage of patients, age 18 years and older, who undergo upper or lower extremity peripheral nerve blockade and for whom ultrasound guidance is used and documented in the medical record and the patient is sent a survey within 30 days and the survey indicates experience with the nerve block , , anesthesia mips qcdr
ePreop31: Intraoperative Hypotension Among Non-Emergent Noncardiac Surgical Cases Measure: percentage of general anesthesia cases in which mean arterial pressure (MAP) fell below 65 mmHg for cumulative total of 15 minutes or more , , anesthesia mips qcdr
QCDR Measure Specification File – Radiology QCDR Measure Specification Book Radiology: contains all 2022 radiology measures approved for the MSN QCDR radiology measures approved for the MSN QCDR , qcdr radiology
Quality ID #ACRAD 36 ACRad36: Incidental Coronary Artery Calcification Reported on Chest CT qcdr
Anesthesia Documentation Training 101 Narrated PowerPoint presentation on Anesthesia billing and documentation concepts anesthesia
Query the Patient 5×7 Gathering patient information to support documentation radiology
Query the Patient Poster Gathering patient information to support documentation radiology
Ultrasound Guidance for Vascular Access Documentation challenges when using ultrasound to locate and gain entry into the access vessel for interventional radiology services. radiology
Medical Necessity – Patient Questionnaire – Poster Gathering patient history information to support medical necessity documentation radiology
Clarifying DXA Coverage (CPT® 77080) March 2021 Client Connection Newsletter article: Summary of screening DXA coverage policies among major insurance plans, #QMM19 MIPS Clinical Quality Measure for DEXA/DXA and Fracture Risk Assessment for Patients with Osteopenia radiology
Reporting Use of Provider Relief Funds – E-Alert Information regarding the reporting of Provider Relief Funds {PRF} alerts-advisories
Obstetrical Anesthesia Billing and documentation for OB Anesthesia anesthesia
Healthcare Professional Shortage Areas (HPSAs) Summary of HPSA Bonus Payment Program anesthesia
Anesthesia and Critical Access Hospitals Anesthesia billing options for CAH locations anesthesia
Anesthesia and MIPS 2022: Why most practices will get hit with a penalty As the CMS’ MIPS program approaches the upcoming year, many anesthesia practices are unaware of the subtle program changes that will make achieving a bonus and averting a penalty much more difficult, should the CMS Proposed Rule become “Final” in early November. This article is intended to provide clarification on this matter and offer strategies to optimize your results. , anesthesia mips
Anatomical Pathology Coding Tool Coding by main specimen and type pathology
Coding for Special Stains Special stains – Add on stains pathology
Pathology AP consultations from outside providers Guidelines for billing outside consultations pathology
MSN Alert: Surprise billing update changes the rules MSN Alert: Surprise billing update changes the rules , alerts-advisories practice-management
Relievant – Vendor Resource Proper coding procedure for Relievant Intracept Procedure vendor
No Surprises Act: What it does and how Webinar: No Surprises Act, understanding the impact on the hospital based practice. Delivered by Rom Howrigon, President & CEO of Fulcrum Strategies. radiology

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These educational documents and guides were prepared as a tool to provide education only. It is not intended to affect clinical treatment patterns. The material provided is for informational purposes only. Efforts have been made to ensure the information within this document was accurate on the date of distribution. Reimbursement policies vary from insurer to insurer and the policies of the same payer may vary within different U.S. regions. All policies should be verified to ensure compliance. CPT® codes, descriptions and other data are copyright of the American Medical Association (or such other date of publication of CPT®).  All Rights Reserved. CPT® is a registered trademark of the American Medical Association. Proprietary and confidential document.