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Sharon Roeder, BA, CPC

Director of Medical Coding Compliance. Certified Professional Coder since 1999, member, American Academy of Professional Coders. Bachelor’s degree in business administration, Ottawa University. Certification, Harold P. Freeman Institute for Patient Navigation.

Learn the 3 study types that may account for up to 80% of radiology claim denials

Claim denials drive up the cost of healthcare and divert resources from the primary goal of delivering quality patient care. When it comes to radiology services, the vast majority of claim denials can be attributed to insufficient documentation of medical necessity for three types of studies.

 

What everyone needs to know to ensure we all get paid

Claims management is essential to patient care. If a facility is not properly reimbursed for medical services rendered, patient care will ultimately be compromised.

Want to get paid under AUC? A qualified CDSM may be your best insurance.

Effective collaboration with your referring physicians can make the difference between getting paid or not getting paid. Cooperation between referring and ordering professionals becomes increasingly important with the approaching implementation date for the Protecting Access to Medicare Act, on January 1, 2020. 

Three Recommendations When Weighing 2018 MIPS Participation

With the transition from year one (2017) to year two (2018) in the Merit-based Incentive Payment System (MIPS), there are several noteworthy changes to the program: