Billing, Coding, & Compliance: Are You Sure this is Right?

(0.5 CE Credit)

TAKE THE QUIZ! https://rad-cast.com/billing-coding-compliance-are-you-sure-this-is-right

The CPT® coding system offers doctors across the country a uniform process for coding medical services that streamlines reporting and increases accuracy and efficiency. For more than 5 decades, physicians and other health care professionals have relied on CPT to communicate with colleagues, patients, hospitals and insurers about the procedures they have performed. CPT descriptive terms and identifying codes currently serve a wide variety of important functions. This system of terminology is the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programs. CPT is also used for administrative management purposes such as claims processing and developing guidelines for medical care review. The uniform language is also applicable to medical education and research by providing a useful basis for local, regional and national utilization comparisons.

The learning objectives for this show are:

  1. Define the terms billing, coding, and compliance
  2. Learn the processes involved in system-wide billing and coding
  3. Describe the role of ethics in compliance
  4. Understand responsibilities of radiation sciences professionals in billing, coding, & compliance

Keywords: billing, coding, compliance, radiation therapy, radiology, audit, CPT, CMS


References:

https://www.legacybyimpact.com/
http://churchill.cqsapps.com/
https://www.ama-assn.org/practice-management/cpt-code-process#CPT%20Process%20Resources
http://www.cruxqs.com/
https://www.americanbar.org/groups/young_lawyers/publications/the_101_201_practice_series/an_introduction_to_whistleblower_qui_tam_claims.html
https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12
https://www.cgsmedicare.com/partb/pubs/news/2014/0314/cope24874.html
http://journal.ahima.org/2018/05/09/are-all-coding-denials-preventable/

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