TitleSummarySpecialtiesKeywordsLinkhf:doc_categories
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
2024 Medicare Fee Schedule for Anesthesia – Conversion Factors by LocalityHere are the 2024 Medicare conversion factors, by locality. Anesthesia payments are calculated by multiplying the sum of the base and time units, to the respective locality-specific unit rate.Anesthesia, MPFS, CF, Localityanesthesia
Labor and Delivery Billing: Why you need a minimum charge thresholdAnesthesia for Labor and Delivery is a profitable service line for most hospital-based practices. Although there are a few Medicaid and Highmark BCBS plans that require reporting of “face to face” time only, most insurance companies allow you to bill for full case time, from epidural insertion through delivery.labor, delivery, anesthesia, minimum charge thresholdanesthesia
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
Y90 Radioembolization ProceduresDocumentation requirements and billing challenges for Y90 (yttrium) embolization proceduresembolization, Y90, yttriumradiology
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
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
Ordering Requirements for Diagnostic TestsReview requirements for ordering and following orders for diagnostic testsorders, diagnostic tests, interpreting physician, treating physicianradiology
New Anesthesia Codes for 2022New Anesthesia Codes for 20222022, anesthesia, codes, flat fee, medicare, modifiers, CPT, anesthesia
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
2022 QCDR Provider Documentation Guide2022 QCDR Provider Documentation Guide, MIPS, MIPS Measures, quality measures, documentation requirements, 2022mips qcdr
2022 MSN Quality Measures Documentation Guide for Providers – Anesthesia2022 Guide to Anesthesia MIPS Measures., , QCDR, MIPS, 2022, quality measures, measure 76, measures 404, measure 424, measure 430, measure 463, measure 477, AQ148, AQ156, AQ162, AQ165, AQ168, AQ169, AQ171anesthesia mips qcdr
Paper Anesthesia Records and Time RoundingBilling and documentation considerations for Acute Pain RoundingAcute Pain Rounding; Post-Op Pain Roundinganesthesia
How Complete Is Your Anesthesia Record?Important Data Elements for Anesthesia Records.Anesthesia Recordanesthesia
The Independent Dispute Resolution (IDR) Portal Question SetExamining the data elements to fight abrupt contract terminations.independent dispute resolution, IDR, question set, contract termination, term letter, anesthesia, No Surprises Actpractice-management
Top 10 Billing Considerations when Negotiating Anesthesia Managed Care ContractsTips on how to successfully negotiate Anesthesia Managed Care contractsManaged Care; Contractinganesthesia
The Top 10 Anesthesia Documentation Items to Ensure Maximum CollectionsGuideline for comprehensive anesthesia billing documentationAnesthesiology; anesthesia, billing; summary; documentation items; maximum collectionsanesthesia
Anesthesia Bundled ServicesSummary of Medicare’s NCCI edits for AnesthesiaBundled Services, NCCIanesthesia
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
Top 10 Billable Anesthesia Events Missed by Billing CompaniesListed are ten such examples that, when properly addressed, can yield immediate increased collections for practices.Anesthesia, Billing, Cases, Pain Rounds, Locums, Pre-Op, PACUanesthesia
The MIPS MVP Reporting TrackThe MIPS MVP Reporting Track – Why Anesthesiology Practices Should Start Registering Now, , MIPS, MVP, Anesthesia, AQI, Quality Measureanesthesia mips qcdr
Surgical Field Avoidance and Special PositioningBilling and documentation considerations for SFA and SPSurgical Field Avoidance; Unusual Positioning; Special Positioninganesthesia
Generalized/Unlisted Pain Block CodesGeneralized/Unlisted Pain Block Codes: Why they aren’t ideal for collections, pain block, anesthesia, CPT, collectionsanesthesia coding
Pain Blocks and Ultrasound GuidancePain Blocks and Ultrasound Guidance – When to Bill for Bothpain block, anesthesia, ultrasound, USGanesthesia
Selecting A New Anesthesia Billing CompanyFactors to consider when selecting a new billing companybilling company, change, newanesthesia
The Importance of Documenting Surgical Procedures at the End of Each Anesthesia CaseAnesthesia Care Team Billing Options: The importance of documenting surgical procedures at the end of each anesthesia case.anesthesia, documentation, surgical procedure, Diagnostic Thoracoscopy, Surgical Thoracoscopy, AICD, CABG, spinal fusion, colonoscopy, arthroscopy, c-section, chronic back pain, TURBTanesthesia
AMA Adopts More Digital Pathology Category III Codes for 2024On June 30, 2023, the CPT Editorial Panel published additional Category III codes to monitor the expanded use of the digitization of pathologic microscopic slides. The new codes are are effective for use as of 1/1/2024., Pathology; Category III; Coding; Digital Pathologycoding 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
Interprofessional Consult ServicesInterprofessional services provided by consultative physician paid by CMS.Interprofessional services, Electronic health record assessment, Medical consult servicespractice-management
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
“Doppler” vs “Duplex”Documentation and coding guidelines for “doppler” and “duplex” ultrasoundUltrasound, doppler ultrasound, duplex ultrasound, gray scale ultrasound, color-doppler ultrasound, spectral analysisradiology
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
CTA DocumentationDocumentation requirements for CTA proceduresCT, CTA, 3D reconstructions, MIP, Volume renderingradiology
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
COVID-19 Talking PointsUpdated CMS services for Telemedicine and Telehealth.Telemedicine, Telehealth, Coronavirus Preparedness and Response Supplemental Appropriations Act, E-visits,virtual check-insradiology
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
2024 CMS Proposed Rule Summary: Anesthesia Focused2024 CMS Proposed Rule Summary: Anesthesia Focused, 2024, anesthesia, CMS, MPFS, MIPS, MVP, conversion factor, chronic pain, SI Jointanesthesia mips
Lines Placed By SRNAsLines Placed By SRNAs: An age-old billing mystery, partially solvedAnesthesia, SRNA, CRNA, student, compliance, billing, linesanesthesia
Reporting Accurate Anesthesia TimeExplanation of nuances that charting requires for accurate billing and reimbursement for anesthesia cases., anestehsia, accurate time, reporting, start time, end time, handoffs, relief time, discontinuous time, pain block, invasive monitoring lines, transport time, cardia care unit, intensive care unit, CCU, ICU, labor and delivery time, time rounding, anesthesia coding
Billing For Transesophageal Echocardiograms (TEEs)Billing and documentation considerations for TEEs.Transesophageal echocardiogram, TEE, cardiac anesthesiaanesthesia
Medical Direction vs. Medical Supervision: Which model is best for your group?Taking a closer look at how total anesthesia units can factor into a group’s decision on clinical model selection by service line.2023, Medical Direction, Medical Supervision, supervison model, Medicare, Anesthesia, anesthesia
Meeting your Facility Oversight Requirements for CRNAsCMS Facility Oversight CriteriaMedical Supervision; Hospital Conditions of Participationanesthesia
Who is MSN? – Radiologymarketing
Who is MSN? – Genericmarketing
Pathology Flyermarketing
Map – Genericmarketing
Map – Radiologymarketing
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
A Deeper Look at SIR Structured Reports: Why and HowWebinar: Dr. Kathy Krol takes a deeper look at SIR structured reports and discusses how to play in the bigger landscape of medical economics.IR, interventional radiology, structured reports, medical economics, strategic planning, component codingradiology
Considerations for New Anesthesia Practices: Avoiding Cashflow Issues and Expanding Market PresenceThis article will discuss strategies to help mitigate cashflow issues during your start-up and expand your market presence., anesthesia, managed care contracting, lead time, no surprises act, new anesthesia practice, new providers, documentation training, ASC staffing, cashflow, market presenceanesthesia practice-management
MSN Anesthesia Billing PrimerIntroduction to anesthesia billing.Anesthesiology; anesthesia, billing; summaryanesthesia
Preparing for MIPS 2023How to prepare for MIPS in 2023., 2023, MIPS, MVP, QCDR, anesthesiaanesthesia mips
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 MSN QCDR Provider Documentation GuidePhysician guide to MIPS Measures of documentation requirements, , 2023, MIPS, QCDR, Measure, 249, 250, 395, 396, 397, 440, 487, 491, QMM21, QMM22, QMM25, coding mips pathology
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
E and M Services Review: Mary HorkeyWebinar Video + PDF Slides: review of E/M documentation elements; definitions of E/M terminology; MIPS measures for E/M services; anticipated 2021 changes;, E&M, E/M, code assignment, location of services, elements of E/M, history, physical, physical exam, medical decision making, chief complaint, systems, scoring, level, table of risk, MDM, time, time statement, consultation, outpatient, inpatient, new paticoding mips
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
Test zip filetest
MVPs Next Phase for MIPS – SlideCMS intends to shift the MIPS program to a subset of measures and activities called MIPS Value Pathways (MVPs). This SLIDE should accompany the corresponding article and notes.mips, mvpstest
MVPs Next Phase for MIPS – ArticleCMS intends to shift the MIPS program to a subset of measures and activities called MIPS Value Pathways (MVPs). This ARTICLE should accompany the corresponding slide and notes.mips, mvpstest
MSN RFP Responsemarketing
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
MSN Client ClearSurvey Info Sheetmarketing
Non-Client ClearSurvey Info Sheet marketing
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
Advantage of Having your Billing, MIPS, and Patient Satisfaction Surveys All Under One UmbrellaAdvantages of having your billing, MIPS, and patient satisfaction surveys all under one umbrella, ClearSurvey, anesthesia, patient satisfaction, survey, MIPS, revenue cycle management, value adds, QCDR,anesthesia mips
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
What do you do when the Hospital comes calling about an ACO: Claudia Murray and Don GoodWebinar Slides: Participation in a hospital ACO may be proposed (or required). What are some of the questions you should be asking when presented with participation options? How do you conduct due diligence to support your practice? Note: ACO/MIPS participation no longer either/or, ACO, Accountable Care Organization, bundled payment, MIPS, episode management, patient management,mips practice-management
CMS Vaccine MandateCMS Vaccine Mandate – FAQs for medical groups, COVID, COVID-19, Vaccine mandate, CMS, exemptions, compliancealerts-advisories practice-management
MSN Practice Education Digital Library Presentation Slidemarketing
The No Surprises Act and How it will WorkSeptember 2021 Client Connection Newsletter article: Guest author Ron Howrigon reviews the impact of the No Surprises Act and how it can impact hospital-based groups, No Surprises Act; surprise billing; out of network; in network; Independent Dispute Resolution; IDR; median contracted rate; anesthesia radiology
Letterhead – Pathologymarketing
MSN By The Numbers Presentation Slidemarketing
25th Anniversary Presentation Slidemarketing
25th Anniversary w Bomarketing
Business Card – Chris Heimerlmarketing
Business Card – Deborah MacFarlanemarketing
Business Card – Hal Nelsonmarketing
Business Card – Larry Deanmarketing
Business Card – Barbara Rubelmarketing
Business Card – Nicole Palmermarketing
Business Card – Steve Collinsmarketing
Business Card – Terry Corganmarketing
MSN Leaderhead – Genericmarketing
Why Choose MSN? – Radiologymarketing
Case Studymarketing
Why Choose MSN? – Genericmarketing
Unclaimed PropertyHow to search for and claim your practice’s Unclaimed PropertyUnclaimed; Property; Escheatpractice-management
RFP Complete – Word Doc marketing
RFP Complete PDFmarketing
MSN Testimonialsmarketing
Presentation Template- Keynote – Genericmarketing
Anesthesia Documentation Training 101Narrated PowerPoint presentation on Anesthesia billing and documentation conceptsAnesthesia; Billing; Documentation; Traininganesthesia
Presentation Template – Powerpoint – Genericmarketing
2019-2020 Blank Presentation Template – PowerPointmarketing
2019-2020 Blank Presentation Template – Keynotemarketing
Presentation Template – All Slidesmarketing
Presentation Template – Barbaramarketing
Presentation Template – Chrismarketing
Presentation Template – Terrymarketing
Sample Presentation DIA- April 2021marketing
Sample Presentation – MCR – March 2021marketing
Request For Proposal 2020 marketing
ClearSurvey Presentation Slide     marketing
ClearSurvey Brand Guidelinesmarketing
Ultrasound Documentation ToolAt-a-glance summary of ultrasound coding elementsUltrasound, NIPS, Duplex Scans, limited US, complete USradiology
New COVID-19 Related CPT CodesNew COVID-19 related CPT codesCOVID-19, PHE, CPT Code 99072, CPT Code 86413radiology
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
Medical Necessity – Patient Questionnaire – 5 x 7Gathering patient history information to support medical necessity documentationMedical Necessity, E&M, patient historyradiology
Information Blocking: Still not ClearMarch 2021 Client Connection Newsletter article: Guest author Ron Howrigon explains how the recently passed surprise billing legislation will work21st Century Cures Act; Information Blocking Rule; HIPAA, Electronic Health Information; ACR update; Office of the National Coordinator for Health Information, Technology (ONC)radiology
The Impact of Topped out MIPS Quality MeasuresMarch 2021 Client Connection Newsletter article: Review of topped out radiology quality measures and the impact on scoringMIPS; topped out measures; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), Quality Payment Program (QPP), Merit-based Incentive Payment System (MIPS)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 OsteopeniaDXA denials, DEXA, indications, medical necessity, bone mass measurement, osteoporosis, #QMM19, MIPS, Medicare, Aetna, Cigna, Humana, UHC, BCBSradiology
Congress Passes Good Surprise Billing LawMarch 2021 Client Connection Newsletter article: Guest author Ron Howrigon explains how the recently passed surprise billing legislation will worksurprise billing, arbitration, justificationradiology
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
Unraveling How Radiology Practices May Use RPAs in a Hospital SettingSeptember 2021 Client Connection Newsletter article: Guest author Mark Cunningham outlines considerations for using RPAs in a hospital settingRPAs; billing for RPA services; hospital based;radiology
Mode of AnesthesiaBilling and documentation considerations for selecting the mode of anesthesia.Mode of anesthesia; anesthesia typeanesthesia
Anesthesia Care Team Billing OptionsBilling and documentation considerations for Anesthesia Care Team Models.Anesthesia, medical direction, medical supervision, non-medical directionanesthesia
Post-Operative Pain BlocksBilling and documentation considerations for acute pain blocks.Post- op pain; acute pain; post-op analgesia; nerve blockanesthesia
ASA Physical Status ModifiersGuideline for documenting ASA physical status.Anesthesiology; anesthesia, billing; summary; physical status modifiers;anesthesia
Invasive Monitoring LinesBilling and documentation considerations for Invasive Monitoring LinesLines; Invasive Monitoring Lines; Arterial Lines; Central Lines; CVPs, Swan-Ganz; Cardiac Anesthesiaanesthesia
Ultrasound Billing requirementsAnesthesia billing requirements for ultrasound guided proceduresUltrasound, USGanesthesia
Pre-Op ClinicsConsiderations for establishing pre-op clinics as new anesthesia service linesPre-Op Clinicsanesthesia
Billing CRNA services as Non-Medically Directed (-QZ)Considerations for -QZ BillingNon-Medically Directed; Collaborative; -QZanesthesia
Acute Pain RoundingBilling and documentation considerations for Acute Pain RoundingAcute Pain Rounding; Post-Op Pain Roundinganesthesia
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 Charge SlippageIdentifying anesthesia-related services commonly missed and not billedAnesthesia; Charge Slippage, Out of OR Servicesanesthesia
What Cigna’s Fractionalized Time Units Mean To Your Practice’s Bottom LineAssessing the financial impact of Cigna’s conversion to fractionalized time unitsCigna, Anesthesia, Timeanesthesia
Top 7 Anesthesia Survey QuestionsAs the use of patient satisfaction surveys continues to rise in the anesthesia industry, here are some items to consider including in your question set.ClearSurvey, anesthesia, patient satisfaction, survey,anesthesia
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
MSN Style Guidelines 2020marketing
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
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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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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2024 QCDR Provider Documentation Guide – Pathology
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2024 QCDR Provider Documentation Guide – Anesthesia
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2024 QCDR Measure Specification File – Anesthesia and Pathology
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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
2024 Medicare Fee Schedule for Anesthesia – Conversion Factors by Locality Here are the 2024 Medicare conversion factors, by locality. Anesthesia payments are calculated by multiplying the sum of the base and time units, to the respective locality-specific unit rate. anesthesia
Labor and Delivery Billing: Why you need a minimum charge threshold Anesthesia for Labor and Delivery is a profitable service line for most hospital-based practices. Although there are a few Medicaid and Highmark BCBS plans that require reporting of “face to face” time only, most insurance companies allow you to bill for full case time, from epidural insertion through delivery. anesthesia
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
Y90 Radioembolization Procedures Documentation requirements and billing challenges for Y90 (yttrium) embolization procedures radiology
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
Reporting Requirements for Moderate Sedation Billing guidelines for moderate sedation services. radiology
Ordering Requirements for Diagnostic Tests Review requirements for ordering and following orders for diagnostic tests radiology
New Anesthesia Codes for 2022 New Anesthesia Codes for 2022 anesthesia
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
2022 QCDR Provider Documentation Guide 2022 QCDR Provider Documentation Guide , mips qcdr
2022 MSN Quality Measures Documentation Guide for Providers – Anesthesia 2022 Guide to Anesthesia MIPS Measures. , , anesthesia mips qcdr
Paper Anesthesia Records and Time Rounding Billing and documentation considerations for Acute Pain Rounding anesthesia
How Complete Is Your Anesthesia Record? Important Data Elements for Anesthesia Records. anesthesia
The Independent Dispute Resolution (IDR) Portal Question Set Examining the data elements to fight abrupt contract terminations. practice-management
Top 10 Billing Considerations when Negotiating Anesthesia Managed Care Contracts Tips on how to successfully negotiate Anesthesia Managed Care contracts anesthesia
The Top 10 Anesthesia Documentation Items to Ensure Maximum Collections Guideline for comprehensive anesthesia billing documentation anesthesia
Anesthesia Bundled Services Summary of Medicare’s NCCI edits for Anesthesia anesthesia
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
Top 10 Billable Anesthesia Events Missed by Billing Companies Listed are ten such examples that, when properly addressed, can yield immediate increased collections for practices. anesthesia
The MIPS MVP Reporting Track The MIPS MVP Reporting Track – Why Anesthesiology Practices Should Start Registering Now , , anesthesia mips qcdr
Surgical Field Avoidance and Special Positioning Billing and documentation considerations for SFA and SP anesthesia
Generalized/Unlisted Pain Block Codes Generalized/Unlisted Pain Block Codes: Why they aren’t ideal for collections , anesthesia coding
Pain Blocks and Ultrasound Guidance Pain Blocks and Ultrasound Guidance – When to Bill for Both anesthesia
Selecting A New Anesthesia Billing Company Factors to consider when selecting a new billing company anesthesia
The Importance of Documenting Surgical Procedures at the End of Each Anesthesia Case Anesthesia Care Team Billing Options: The importance of documenting surgical procedures at the end of each anesthesia case. anesthesia
AMA Adopts More Digital Pathology Category III Codes for 2024 On June 30, 2023, the CPT Editorial Panel published additional Category III codes to monitor the expanded use of the digitization of pathologic microscopic slides. The new codes are are effective for use as of 1/1/2024. , coding pathology
DynaCAD: 3D Reconstruction Modalities- MRI Prostate DynaCAD order and documentation requirements with examples radiology
Plain Films Documentation guidelines for plain films. radiology
Interprofessional Consult Services Interprofessional services provided by consultative physician paid by CMS. practice-management
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
“Doppler” vs “Duplex” Documentation and coding guidelines for “doppler” and “duplex” ultrasound 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
CTA Documentation Documentation requirements for CTA procedures radiology
CT and CTA Same Encounter Billing challenges and documentation challenges for CT/CTA during same patient encounter radiology
COVID-19 Talking Points Updated CMS services for Telemedicine and Telehealth. 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
2024 CMS Proposed Rule Summary: Anesthesia Focused 2024 CMS Proposed Rule Summary: Anesthesia Focused , anesthesia mips
Lines Placed By SRNAs Lines Placed By SRNAs: An age-old billing mystery, partially solved anesthesia
Reporting Accurate Anesthesia Time Explanation of nuances that charting requires for accurate billing and reimbursement for anesthesia cases. , anesthesia coding
Billing For Transesophageal Echocardiograms (TEEs) Billing and documentation considerations for TEEs. anesthesia
Medical Direction vs. Medical Supervision: Which model is best for your group? Taking a closer look at how total anesthesia units can factor into a group’s decision on clinical model selection by service line. anesthesia
Meeting your Facility Oversight Requirements for CRNAs CMS Facility Oversight Criteria anesthesia
Who is MSN? – Radiology marketing
Who is MSN? – Generic marketing
Pathology Flyer marketing
Map – Generic marketing
Map – Radiology marketing
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
A Deeper Look at SIR Structured Reports: Why and How Webinar: Dr. Kathy Krol takes a deeper look at SIR structured reports and discusses how to play in the bigger landscape of medical economics. radiology
Considerations for New Anesthesia Practices: Avoiding Cashflow Issues and Expanding Market Presence This article will discuss strategies to help mitigate cashflow issues during your start-up and expand your market presence. , anesthesia practice-management
MSN Anesthesia Billing Primer Introduction to anesthesia billing. anesthesia
Preparing for MIPS 2023 How to prepare for MIPS in 2023. , anesthesia mips
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 MSN QCDR Provider Documentation Guide Physician guide to MIPS Measures of documentation requirements , , coding mips pathology
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
E and M Services Review: Mary Horkey Webinar Video + PDF Slides: review of E/M documentation elements; definitions of E/M terminology; MIPS measures for E/M services; anticipated 2021 changes; , coding mips
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
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MVPs Next Phase for MIPS – Slide CMS intends to shift the MIPS program to a subset of measures and activities called MIPS Value Pathways (MVPs). This SLIDE should accompany the corresponding article and notes. test
MVPs Next Phase for MIPS – Article CMS intends to shift the MIPS program to a subset of measures and activities called MIPS Value Pathways (MVPs). This ARTICLE should accompany the corresponding slide and notes. test
MSN RFP Response marketing
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
MSN Client ClearSurvey Info Sheet marketing
Non-Client ClearSurvey Info Sheet   marketing
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
Advantage of Having your Billing, MIPS, and Patient Satisfaction Surveys All Under One Umbrella Advantages of having your billing, MIPS, and patient satisfaction surveys all under one umbrella , anesthesia mips
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
What do you do when the Hospital comes calling about an ACO: Claudia Murray and Don Good Webinar Slides: Participation in a hospital ACO may be proposed (or required). What are some of the questions you should be asking when presented with participation options? How do you conduct due diligence to support your practice? Note: ACO/MIPS participation no longer either/or , mips practice-management
CMS Vaccine Mandate CMS Vaccine Mandate – FAQs for medical groups , alerts-advisories practice-management
MSN Practice Education Digital Library Presentation Slide marketing
The No Surprises Act and How it will Work September 2021 Client Connection Newsletter article: Guest author Ron Howrigon reviews the impact of the No Surprises Act and how it can impact hospital-based groups , anesthesia radiology
Letterhead – Pathology marketing
MSN By The Numbers Presentation Slide marketing
25th Anniversary Presentation Slide marketing
25th Anniversary w Bo marketing
Business Card – Chris Heimerl marketing
Business Card – Deborah MacFarlane marketing
Business Card – Hal Nelson marketing
Business Card – Larry Dean marketing
Business Card – Barbara Rubel marketing
Business Card – Nicole Palmer marketing
Business Card – Steve Collins marketing
Business Card – Terry Corgan marketing
MSN Leaderhead – Generic marketing
Why Choose MSN? – Radiology marketing
Case Study marketing
Why Choose MSN? – Generic marketing
Unclaimed Property How to search for and claim your practice’s Unclaimed Property practice-management
RFP Complete – Word Doc   marketing
RFP Complete PDF marketing
MSN Testimonials marketing
Presentation Template- Keynote – Generic marketing
Anesthesia Documentation Training 101 Narrated PowerPoint presentation on Anesthesia billing and documentation concepts anesthesia
Presentation Template – Powerpoint – Generic marketing
2019-2020 Blank Presentation Template – PowerPoint marketing
2019-2020 Blank Presentation Template – Keynote marketing
Presentation Template – All Slides marketing
Presentation Template – Barbara marketing
Presentation Template – Chris marketing
Presentation Template – Terry marketing
Sample Presentation DIA- April 2021 marketing
Sample Presentation – MCR – March 2021 marketing
Request For Proposal 2020   marketing
ClearSurvey Presentation Slide       marketing
ClearSurvey Brand Guidelines marketing
Ultrasound Documentation Tool At-a-glance summary of ultrasound coding elements radiology
New COVID-19 Related CPT Codes New COVID-19 related CPT codes radiology
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
Medical Necessity – Patient Questionnaire – 5 x 7 Gathering patient history information to support medical necessity documentation radiology
Information Blocking: Still not Clear March 2021 Client Connection Newsletter article: Guest author Ron Howrigon explains how the recently passed surprise billing legislation will work radiology
The Impact of Topped out MIPS Quality Measures March 2021 Client Connection Newsletter article: Review of topped out radiology quality measures and the impact on scoring 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
Congress Passes Good Surprise Billing Law March 2021 Client Connection Newsletter article: Guest author Ron Howrigon explains how the recently passed surprise billing legislation will work radiology
Reporting Use of Provider Relief Funds – E-Alert Information regarding the reporting of Provider Relief Funds {PRF} alerts-advisories
Unraveling How Radiology Practices May Use RPAs in a Hospital Setting September 2021 Client Connection Newsletter article: Guest author Mark Cunningham outlines considerations for using RPAs in a hospital setting radiology
Mode of Anesthesia Billing and documentation considerations for selecting the mode of anesthesia. anesthesia
Anesthesia Care Team Billing Options Billing and documentation considerations for Anesthesia Care Team Models. anesthesia
Post-Operative Pain Blocks Billing and documentation considerations for acute pain blocks. anesthesia
ASA Physical Status Modifiers Guideline for documenting ASA physical status. anesthesia
Invasive Monitoring Lines Billing and documentation considerations for Invasive Monitoring Lines anesthesia
Ultrasound Billing requirements Anesthesia billing requirements for ultrasound guided procedures anesthesia
Pre-Op Clinics Considerations for establishing pre-op clinics as new anesthesia service lines anesthesia
Billing CRNA services as Non-Medically Directed (-QZ) Considerations for -QZ Billing anesthesia
Acute Pain Rounding Billing and documentation considerations for Acute Pain Rounding anesthesia
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 Charge Slippage Identifying anesthesia-related services commonly missed and not billed anesthesia
What Cigna’s Fractionalized Time Units Mean To Your Practice’s Bottom Line Assessing the financial impact of Cigna’s conversion to fractionalized time units anesthesia
Top 7 Anesthesia Survey Questions As the use of patient satisfaction surveys continues to rise in the anesthesia industry, here are some items to consider including in your question set. 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
MSN Style Guidelines 2020 marketing
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

Legal Disclaimer

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.