Image Guidance for 2015: When to Bill Separately

Event Information
Product Format
Prerecorded Event
Marvel J. Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO
90 minutes
Product Description

Overcome the Common Mistakes Practices Make When Billing For Image Guidance

Knowing when you can and when you cannot separately bill for image guidance is imperative in 2015. There have been coding changes that have bundled image guidance into new CPT® codes and some payer coverage policy changes that are contradictory to CPT® section guidelines.  It's tempting to take the easy road and assume that every guidance procedure that crosses your desk is bundled now, but that's only setting yourself up for lost reimbursements.  Likewise, incorrect use of a modifier to bypass a NCCI bundling edit of image guidance can invite compliance trouble with a payer review.

Join expert speaker Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO in this 90-minute session to get expert tips on when to code guidance separately, how to choose the proper code and how to bring in the most reimbursement you ethically can.

Session Highlights:

  • Common mistakes practices make when billing for image guidance;
  • Radiology services: global radiology services versus components;
  • Learn from heaps of Radiology Modifier examples;
  • Potential issue: Facility place of service;
  • Instruction for use of the CPT® Codebook ;
  • Insights on diagnostic study requirements and documentation;
  • Image guidance rules for procedures from “A to Z”: arthrography, discography, epidurography, intra-articular joint injections, kyphoplasty, SI joint injections, vertebroplasty;
  • 2015 Medicare Physician RVU changes;
  • Discussion on Medicare NCCI Manual Chapter 9;
  • AMA documentation requirements for image guidance – Does your provider’s procedure note include all of the requisite information?
  • CMS rules regarding diagnostic extremity ultrasound studies versus image guidance;
  • Insights on potential misuse of Modifier 59;
  • Discussion on 2015 Medicare Physician Fee Schedule;
  • 2015 Category III CPT® changes; and
  • Discussion on Medicare Medically Unlikely Edits (MUE).

Who should attend

  • Pain Management
  • Physical Medicine & Rehabilitation
  • Orthopedics
  • Interventional Radiology
  • Coding & billing staff
  • Providers and office managers


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About Our Speaker

Marvel J. Hammer - Neurology Coding Expert

Marvel J Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO is an accomplished professional with considerable years of experience both in the business and medical fields. She is a coding, billing and compliance consultant and owner of MJH Consulting based in Denver, Colorado.

She provides medical coding and billing education, assistance with payer audits and performs compliance reviews for her clients. Marvel enjoys teaching providers and their...   More Info
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