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Office Articles: LOMBARD, IL

Congratulations! Congratulations to Diane Chiodo, who passed the Certified Gastroenterology Coder (CGIC™) exam this summer. Diane is a coder for one of the most prominent GI physicians in the mid-west. The CGIC™ was developed by a team of leading GI coding professionals and is designed to measure preparedness for “real-world” GI coding. Coders are tested on: The ability to read and abstract physician office notes and operative notes to apply correct ICD-9-CM, CPT®, HCPCS Level II and modifier coding assignments Evaluation and management (both the 1995 and 1997 Documentation Guidelines) Rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations and global surgery Coding of surgical procedures performed by gastroenterologists such as colonoscopies, esophageal dilations, ERCP, etc. Medical terminology Anatomy and physiology Local “Chairman of the Board” AdvantEdge Lombard’s IDM department team members are always in the know…. How? Because of the efforts of the department “Chairman of the Board,” Aaron Jenkins (and previously Jenica Glenn, who recently transferred to the...

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Welcome to the Fall 2013 issue of the Leading Edge. As always, some great information. Starting with Healthcare Exchanges that are all over the news. And Medicare Policy updates in the Compliance Corner. Be sure to send us ideas for the next issue: just reply with your thoughts.

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Clinical Decision Support and Radiology Reimbursement

At the RBMA Fall Educational Conference, Michael R. Mabry and Daniel Rosenthal, MD “connected the dots” on several issues of critical importance to radiologists.
— Continued growth in radiology services
— Effectiveness (or not) of RBM’s (Radiology Benefit Managers)
— SGR legislation that “offers a way out” of continuing reimbursement cuts
— How Clinical Decision Support works
— How Clinical Decision Support affects utilization

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MPPR Update

With all the reimbursement cuts in the past and those proposed in the 2014 Medicare Physician Fee Schedule, there is some good news concerning the fate of the MPPR in 2014. In the proposed 2014 Fee Schedule, there is no mention of further reducing services via MPPR reductions!

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Radiology CPT Codes – Expected Changes in 2014

As we all wait for our CPT manuals to see the final 2014 CPT codes, here is summary of the changes expected for 2014. Some of the new bundled codes may affect radiologists: we will publish the specifics as soon as they are known. In the meantime, here is what we know right now.

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ICD-9 to ICD-10 Conversions

When talking about the transition from ICD-9 to ICD-10 diagnosis codes, criticisms center on the large number of ICD-10 codes and some of the odd diagnoses.However, there are cases where ICD-10 provides clarity and simplifies the description of the condition. An example is “spotting” as the reason for obstetric ultrasounds.

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