Chargemaster 101: Breaking it Down · New Codes 74018 –X-Ray Abdomen 1 view 74019 –X-Ray...

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Presented by Sandy Sage RN, HomeTown Health, LLC

Chargemaster 101:Breaking it Down

December 14, 2017

A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO THE Iowa Small Hospital Improvement

Program (SHIP) Grant FY 17, IA Contract #5888SH01 and the Georgia Small Hospital Improvement Grant FY 17

WEBINAR ETIQUETTE

Hospital Transformation Consortium

•All attendees are in “Listen Only” mode•Questions or comments?- Open “Questions” pane in

dashboard.

- Type in comments or questions.

- Comments will be monitored

throughout webinar.

- Questions will be addressed at

end of the webinar.

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•This webinar will be recorded and emailed to you to share with others

on your team.

•Handouts are available for download in the Handouts pane and will be

emailed out to attendees after the

webinar.

WEBINAR RESOURCES


As an IACET Authorized Provider, HomeTown Health, LLC offers

CEUs for its programs that qualify under the ANSI/IACET

Standard. HomeTown Health, LLC is authorized by IACET to

offer 0.1 CEUs for this program.

In order to obtain these units, you must:

• Attend webinar/view recording in its entirety within 30 days• Pass online quiz with 80% or better.• Complete webinar evaluation.

Following this webinar, all attendees who have viewed the recording in its entirety will receive an email with a link to the quiz and evaluation.

Anyone that misses the webinar can view the recording online, posted on the program Dashboard, for CEUs.

CONTINUING EDUCATION


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GROUP PARTICIPATION


Are you on this webinar with a group?

If so, please enter:first/last names and email addresses of those in attendance with you in the

Questions Pane.

Welcome & Introductions Desi Barrett,

HomeTown Health, LLC

Focus on Chargemaster: Breaking it Down

Room Rates, Radiology, ER, OR, Therapy

Sandy Sage RN,


Upcoming Events & Resources Sandy Sage,


AGENDA

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Sandy Sage RN

• Registered Nurse for 25+ years• Has worked in rural hospital revenue cycles 18 years• HTHU Instructor• Currently a Revenue Analyst for HomeTown Health

• Passionate about saving rural hospitals• Love my kids and my cats!

Presented by Sandy Sage RN, HomeTown Health, LLC

Chargemaster 101:Breaking it Down

Learning Outcome Standard: Based on CMS Guidelines for HCPCS codes and AMA guidelines for CPT codes

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Poll

Question

Learning Outcomes

� List the most common 3 modifiers used in the Radiology Chargemaster

� Identify the different therapy revenue codes

� Describe why revenue codes are important

� Describe the role of department managers in maintaining the Chargemaster

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THE PROCESS

Poll

Question

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Access

� Not everyone should have access to make changes in the Chargemaster

�Chargemaster Leader

�Back-up to Chargemaster Leader

�CFO

� Too many hands spoil the soup!

People

� Who should verify new charges?

�Department Manager

�Coding Department

�CFO or BOM

�Chargemaster Leader

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Process

Assign Assign oversight responsibilityAssign oversight responsibility

Make Make exceptions for last minute additionsMake exceptions for last minute additions

Determine Determine time limitsDetermine time limits

Develop Develop a tracking mechanismDevelop a tracking mechanism

Use Use a form or other standardized method that can be moved quickly from department to department. (shared drive)Use a form or other standardized method that can be moved quickly from department to department. (shared drive)

Process

After additions, test charges to make sure they are crossing to the bills correctly

After additions, test charges to make sure they are crossing to the bills correctly

The CDM Leader should lead the team in making the annual updates

The CDM Leader should lead the team in making the annual updates

Assign responsibility for review of quarterly HCPCS code updates

Assign responsibility for review of quarterly HCPCS code updates

Do in-house reviews by department managers annually

Do in-house reviews by department managers annually

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Documentation

� Create a reference book for your process, include:

�Contact information for the CDM team

�Definitions of required elements (revenue codes, description lengths etc.)

� Flow charts of the processes (entering, auditing)

� Samples of reports used and how to run them.

�Policies and procedures

2018 CPT Code Changes

Respiratory Changes

� 94620 Pulmonary stress testing – deleted

� 94617, 94618 Added

� 94621 Revised

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2018 CPT Code Changes

Other Changes

� 99363 and 99364 for Warfarin/Coumadin

Supervision have been deleted

� Several surgical codes have been changed,

see your 2018 CPT code manual for updates

ROOM CHARGES

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Room Charges

� Revenue Codes

Revenue Code Description

111/121 Med/Surg Private/Semi-private

112/122 OB Private/Semi-private

113/123 Pediatric Private/Semi-private

114/124 Psych Private/Semi-private

170 Nursery- Well Baby

171-174 Nursery Levels 1-4

179 Boarder Baby

Room Charges

� Revenue Codes

Revenue Code Description

201 Surgical ICU

202 Medical ICU

203 Pediatric ICU

207 Burn Care ICU

208 Trauma ICU

210 Coronary Care Unit – CCU

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Room Rates

� Private room is considered medically necessary if no other type room is available.

� What is included in the room rates?

� Telemetry

� Isolation

� Equipment

� Beds

� Nursing Care

� Meals

� Routine supplies (admission kit)

Room Rates

� You can set up room rates that reflect the services provided.

� Example: A routine Med/Surg room rate would be lower than a Telemetry room rate and an Isolation room rate.

� Add the cost of telemetry monitoring into the inpatient room rate.

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Assignment

� Room charges are determined during the registration process.

� If the wrong room accommodation code is chosen it will create havoc throughout the revenue cycle.

� Train Patient Access staff and explain the importance of accuracy.

Observation Hours

Observation hour charges should equal or exceed the charge for an inpatient day’s rate.

Observation is considered more intensive care than a regular room rate so the charge should be reflective of the care given.

Don’t forget if a patient does not come through the ER or OR a Direct Admit to Observation charge should be applied.

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RADIOLOGY

Radiology

� Multiple disciplines within the department

� High volume department

� Most exams/procedures are hard coded

� Interventional Radiology may be coded in HIM

� Staff must know what and when to charge

� All procedures coded by HIM for outpatient accounts must have a corresponding charge.

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Radiology

� Revenue Codes

RC Description

320 General X-rays - Diagnostic

321 Angiocardiography

322 Arthrography

323 Arteriography

324 Chest X-ray

RC Description

330 General X-rays – Therapeutic

340 General – Nuclear Medicine

341 Diagnostic Nuclear Medicine

342 Therapeutic Nuclear Medicine

343 Diagnostic Radiopharmaceuticals

344 Therapeutic Radiopharmaceuticals

Radiology

� Revenue Codes

RC Description

350 General CT Scan

351 Head CT Scan

352 Body CT Scan

359 Other CT Scan

790 Lithotripsy

921 Peripheral Vascular Lab

RC Description

401 Diagnostic Mammography

402 Ultrasound

403 Screening Mammography

404 PET Scans

409 Other Imaging

483 Echocardiology

482 Stress Test

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Radiology

� Revenue Codes

RC Description

610 General MRI

611 MRI Brain and Brain Stem

612 MRI Spine and Spinal Cord

614 Other MRI

740 EEG

749 Other EEG

RC Description

615 MRA Head and Neck

616 MRA Lower Extremities

618 MRA Other

621 Supplies incident to Radiology

Radiology CPT/HCPCS

� All Radiology exams are assigned a CPT/HCPCS Code; Majority are in 70000 range for CPT codes

� Some are assigned both a CPT and a HCPCS code for the same exam with Medicare requiring the HCPCS code and other payers a CPT code.

� Both must be included in the CDM with the billing system set up to route the correct code to the bill.

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Radiology Crosswalk Updated 6/2017Description CPT HCPCS Code

Screening Mammography Bilateral w/cad 77067 G0202

Diagnostic Mammography Bilateral w/cad 77066 G0204

Diagnostic Mammography Unilateral w/cad 77065 G0206

Diagnostic Digital Breast tomosynthesis unilateral or bilateral, add on code (G0204/G0206)

77062 G0279

MRA Abdomen with contrast None C8900

MRA Abdomen without contrast None C8901

MRA Abdomen with and without contrast 74185 C8902

MRI with contrast breast unilateral None C8903

MRI Breast without contrast unilateral None C8904

MRI Breast with and without contrast unilateral None C8905

Radiology

� Check your HCPCS code book for other C-codes including Transthoracic echocardiography, more MRAs and other testing done in Radiology

� If the HCPCS codes are not in your CDM, Medicare and sometimes Medicaid will deny as invalid code for billing.

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Radiology CDM Modifiers

� LT – Left RT – Right 50 - Bilateral

� If a code specifies that the exam is bilateral you do not use the 50 modifier and should not bill as a unilateral exam.

� If there is no specification use all 3 modifiers on a separate line for each in the Chargemaster.

� *Note: Some payers do not accept modifiers

Radiology

� 73560 X-ray of knee 1-2 views

�320 X-ray of knee 1-2 views Left – 73560LT

�320 X-ray of knee 1-2 views Right – 73560RT

�320 X-ray of knee 1-2 views Bilateral – 7356050

� Screening Mammogram bilateral – 77067 No modifier 50 is needed if bilateral is specified in the description.

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RadiologyLT, RT, 50

Do NOT use the modifiers on

single unmatched body parts

� Sacrum

�Heart

�Head

�Chest

�Pelvis

� Etc.

Radiology Modifier 76

Modifier 76 is used in Radiology to show that and exam has been repeated. Modifier 76 is used in Radiology to show that and exam has been repeated.

This is applied by HIM and the Radiology Department needs a good communication process with the coders.This is applied by HIM and the Radiology Department needs a good communication process with the coders.

It is only applied to the second or repeated CPT code so it is not practical to add these to the CDM.It is only applied to the second or repeated CPT code so it is not practical to add these to the CDM.

Do not charge a repeat exam if you are repeating it due to a technical errorDo not charge a repeat exam if you are repeating it due to a technical error

The billing department should not be assigning modifiersThe billing department should not be assigning modifiers

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Radiology Tips

Do NOT use Modifier 59 in the Chargemaster!!

No need to use finger and toe modifiers because the X-ray will capture the whole hand or foot.

DO NOT charge a left and a right on the same date of service even if done at different times. It will have to be charged and billed as a bilateral exam.

Radiology Modifier TC

Modifier TC is for the Technical Component of an exam.Modifier TC is for the Technical Component of an exam.

It is not required for hospital billing.It is not required for hospital billing.

It is assumed that CPT codes billed by a hospital on a UB04 are technical and not professional.

It is assumed that CPT codes billed by a hospital on a UB04 are technical and not professional.

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Radiology

� Make sure that every procedure you do is available for you to charge.

� CPT codes are updated annually

� Don’t forget to add any new service lines

� Communicate with Radiologist and HIM Coders

Radiology

� Choose the charge that describes most accurately what the exam includes.

� Example:

� 71100 Ribs unilateral 2 views

� 71101 Ribs unilateral 2 views including posteroanterior chest min. 3 views

(Do not charge a chest x-ray separately, it is included)

* Note that these would each be in your Chargemaster twice. One for the

left side, one for the right side with the LT and RT modifiers. You would

NOT put this in the Chargemaster as a bilateral with a 50 modifier. For

bilateral you would use 71110 and 71111 without the 50 modifier.

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Radiology Contrast

� Low Osmolar Contrast Material (LOCM)

� High Osmolar Contrast Material (HOCM)

� Q9951-Q9967

� Includes Gastrografin, Omnipaque, Isovue, Ultravist, Vispaque, Optiray, Sinografin etc.

� Must be billed according to the description in the HCPCS code book

Radiology Contrast

� Q9967 – LOCM 300-399 mg/ml per ml

� MUST BE BILLED PER ml/cc

� Don’t bill as one unit, bill the number of ml/cc given to the patient

� Use revenue code 255 – Drugs incident to Radiology

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Note

There are codes that are always included in payment of another code.

It is still important to charge them.

76376 and 76377 describe CT reconstruction, these are always bundled for PPS hospitals.

Exception is CAHs cost based reimbursement

2018 Radiology Changes

� Deleted Codes

�71010

�71015

�71020-71023

�71033

�71034

�71035

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2018

Changes

New Codes

71045 – Chest X-ray Single view

71046 - Chest X-ray 2 views

71047 – Chest X-ray 3 views

71048 – Chest X-ray 4 or more views

2018 Changes

� Deleted Codes

� 74000

� 74010

� 74020

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2018 Changes

New Codes

74018 – X-Ray Abdomen 1 view

74019 – X-Ray Abdomen 2 views

74021 – X-Ray Abdomen 3 or more views

Radiology Managers

Sit down

Sit down with your copy of the CDM, the HCPCS book and the AMA CPT code book.

Start

Start at 70000 and go page by page to make sure that every exam you do is listed in your CDM.

Check

Check your revenue codes against the list in this webinar handout. Correct if needed.

Confirm

Confirm all unilateral and bilateral modifiers are included with the correct description

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Radiology Managers

Identify

Identify any codes that are in your CDM that are no longer active (Not in the code book)

Remove

Remove or delete any inactive codes

Add

Add any HCPCS codes that are required for Medicare billing. Notify your BOM

Check

Check that your department assignments are correct

QUESTIONS??

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Emergency Department

Poll

Question

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� Revenue Codes

� Emergency Room Hospital – 450

� Emergency Room Physician – 981

� Other revenue codes may be charged

� 450 is the place of service for ER


� ER Levels 99281-99285 and 99291-92 (hard coded)

� Procedure charges can be in the ER CDM 2 different ways

�Listing each individual procedure on it’s own charge line

�Having 3-4 procedure categories

� Injections and Infusions (hard coded)

� Nursing Procedures (hard coded)

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� How do you assign ER Levels?

� Points? Acuity? EHR?

� CMS has said that hospitals can decide how to assign levels as long as these requirements are met:

� Consistent

� In Writing

� An outside auditor could reproduce the level based on your written policy.

POLL QUESTION

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POLL QUESTION


Individual ProceduresPROs CONs

Each procedure has a description listed in the CDM

Physicians and Nursing staff do not know procedure coding rules

The coding staff do not have to code the procedure

It is easy to select the wrong procedure

The physician and the hospital can easily charge the same procedure

Charge sheets are enormous

If a charge is missed it will not hit an edit to notify the billing staff

More time consuming for staff

You may do a procedure not listed

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Procedure LevelsPROs CONs

Easier, less time consuming All procedures are not listed on the charge forms

Nursing staff does not have to know coding rules

The physician may choose to bill a different code

If a charge is missed it will trigger billing edits

Coding staff can ensure correct codes are billed

You don’t have to worry about missing a procedure in the CDM

Pricing is much easier


If you decide to list each procedure individually, your coders should help review the CDM to make sure the descriptions match the codes.

You should have a process in place to add missing procedure charges quickly to avoid delays in billing.

You need to have a pricing mechanism in place for any added procedures.

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Emergency Department� If you have procedure levels they can be described according to

intensity.

� Minor procedure

� Moderate procedure

� Major procedure

� Each facility can determine what they want put in each level.

� Example:

� All single layer sutures < 3 inches = Minor

� Manipulation of dislocation = Moderate

� Chest Tube Insertion = Major


Dept RC Description CPT code Price

ER 450 Minor Procedure $000000

ER 450 Repair of Scalp 2.5 cm or < 12001 $000000

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Emergency DepartmentDept RC Description CPT code Price

ER 450 Foley Catheter Insertion 51702 $000000

ER 450 Splinting or strapping $000000

ER 450 Casting $000000

ER 450 Burn Dressing $000000

ER 450 Change G tube 43760 $000000

ER 450 Gastric Intubation/Lavage 43753 $000000

ER 450 CPR 92950 $000000

ER 300 In and Out Specimen Collection P9612 $000000

ER 300 FSBS 82962 $000000


� Injections and infusions can be in your CDM with place of service revenue codes and the CPT code.

� 450- Emergency Department

Or

� 260- IV Therapy

� You want to make sure that they are mapping to the correct department

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Physician ER Levels do not have to match what you are charging for the hospital ER Level.

Hospital levels are based on resources used.

Physician levels are based on the assessments and documentation.

If all levels always match it may send up red flags at your payers.


� When you are reviewing your Chargemaster, communicate with your CFO regarding pricing.

� It is important, especially on your ER levels that you do NOT price them below your contracted rates.

� You will be paid the “lesser of” in most contracts.

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ED Managers

Sit down

Sit down with your copy of the CDM, the HCPCS book and the AMA CPT code book.

Start

Start by looking at each charge in the CDM making sure the revenue codes are correct

Check

Check to make sure that all levels and procedures have a CPT code attached (unless you do procedure levels)

Confirm

Confirm that your descriptions are correct and up to date

ED Managers

Identify

Identify any codes that are in your CDM that are no longer active (Not in the code book)

Remove

Remove or delete any inactive codes

Add

Add any procedures that Nursing does that can be hard coded in the CDM and add them (Let HIM know)

Communicate

Communicate any process or charging changes to your coders in HIM.

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Operating Room and Endoscopy

Operating Room

Revenue Codes

� 360 – General OR

� 361 – Minor/Outpatient Surgery

� 370 – Anesthesia

� 710 – Recovery Room

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POLL QUESTION

POLL QUESTION

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Choose How to Bill

� The standard for billing OR procedures is usually to bill invasive procedures based on time increments and Endoscopic procedures based on the procedure itself.

� Each hospital can choose how they want to bill to cover the costs.

Charging for ProceduresOperating Room

Charging Time Increments

When determining cost don’t forget

non-billable supplies!

PROs CONs

Actual time is billed Slow MD, Higher charges

Can determine actual cost of procedure

No pre-determined prices by procedure

Productivity can be measured Each patient’s charge could vary

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Operating Room Charging Time vs. Procedure

� Many times there are multiple procedures done in one OR session.

� Charging for the subsequent procedures must show reduced pricing because the room set up was done only once, same staff was utilized, one bill is generated, one set of instruments cleaned.

� If time is used no discounting needs to be determined

� Front load with the first 15 minutes then each additional minute or increment of time.

� Once most frequent procedures are done multiple times, estimates can be determined by averaging charge by physician.

Estimating OR Procedures� Use the history found in your IT system for

procedures

� Identify your top procedures, by service line i.e. Ortho, General, GYN, ENT etc.

� Pull the charges that are tied to the CPT codes for top procedures

� Develop pricing based on an average procedure charge

� Evaluate payment ranges based on payer history

� Determine what amount would cover costs and also be fair to uninsured.

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OR Charging

� If you do surgeries that are typically more cost intensive you can also charge using time increments specific to a certain OR suite.

� General Suite: $350 base rate then $175 per add 15 min

� OB/GYN Suite: $500 base rate then $225 per add 15 min

� Ortho Suite: $650 base rate then $275 per add 15 min

� Whatever works for your OR

OR Charging Tips

Your processes for charging need to be evaluated to ensure that any implants or devices are charged.

Remember that you can’t charge for equipment!

Do invoices need to be given to your business office for billing?

Some payers will not pay if an implant is not charged and an invoice is not included with the bill.

Work with materials management!

Newly ordered devices may not be in the Chargemaster at the time of surgery, what is your process?

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Recovery Room

� Revenue Code – 710

� No CPT code is attached

� Recovery Room can be charged by time or by room.

Charging OR Procedures

When OR procedures are charged in time increments they will go to the bill on one

line for revenue code 360

The coder will code the procedure(s)

The CPT will match up with the revenue

code on the bill

Once again a double check

system!

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Anesthesia - Hospital

� Revenue code 370 – No CPT code is assigned to this revenue code

� If you are charging time based surgeries you can charge anesthesia in time increments as well

� You can charge anesthesia according to procedure if you are charging each individual surgery and not according to time increments.

� If you are billing for your CRNA there are different rules and guidelines.

Conscious Sedation

� CPT codes 99151-99157

� 99151 1st 15 minutes then code for each additional 15 minutes

� Includes pre and post service work

� Do not report separately

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Conscious Sedation

� Pre-service Work

�Assessments including pulse ox

�Vital signs

�Consents

� IV insertions

� Included in conscious sedation CPT code

Conscious Sedation

� Post-service Work

�Assessment of consciousness

�Assessment of discharge readiness

�Documentation

�Communication with family

� (basically recovery)

� Included in conscious sedation CPT code

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Endoscopy� Revenue code – 750

� These can be put on individual lines in the Chargemaster with the CPT code attached.

Or

� You can use lines with no CPT code and let the coders do the coding.

� Initial Endo procedure

� Subsequent Endo procedure (use when more than one procedure is done during a session at reduced pricing)

Endoscopy

� There are many rules for the endoscopy CPT codes

� It is usually more accurate for the coders to assign the CPT codes

� Example: 43239 Endoscopy with biopsy

(Do not report with 43254 for the same lesion)

(Do not report with 43197, 43198,43235,44360, 44363,44364,44365,44366,44369,44370,44372,44373, 44376,44377,44378,44379)

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OR Managers

Discuss

Discuss how you want to charge for surgeries (Procedure vs. Time)

Evaluate

Evaluate your charges by using historical data to determine cost vs. charge

Review

Review your current Chargemaster

Evaluate

Evaluate your processes for charging

THERAPY

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POLL QUESTION

Therapy Revenue Codes

� 0420 Physical Therapy0421 Visit charge0422 Hourly charge0423 Group rate0424 Evaluation or re-evaluation0429 Other

� 0430 Occupational Therapy0431 Visit charge0432 Hourly charge0433 Group rate0434 Evaluation or re-evaluation0439 Other

� 0440 Speech Therapy – Language Pathology0441 Visit charge0442 Hourly charge0443 Group rate0444 Evaluation or re-evaluation0449 Other

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Therapy Modifiers

� GP – Physical Therapy

� GO – Occupational

� GN – Speech Therapy

Therapy Billing

� Service based codes – Evaluations, hot/cold packs, things that are not time based and are only billed once.

� Time-Based – Billing in 15 minute increments; one on one

� Certifications – required within 30 days of the evaluation to be signed by the physician, covers the first 90 days of treatment.

� Progress reports every 30 days or 10 visits, whichever comes first.

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Therapy CPT Codes

� PT Evaluations – 97161-97163

� OT Evaluations – 97164-97168

� Untimed Modalities- 97010-97028

� Timed Modalities – 97032-97039

� Therapeutic Procedures – 97110-97546

� Wound Care Management – 97597-97606

� Tests and Measurements – 97750-97755

� Orthotic or Prosthetic Management – 97760-97762

Functional Reporting

� For Medicare patients only

� 42 functional G codes

� 14 sets of 3 codes

� Describe functional limitations

� Medicare Quick Reference Chart:

� https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/G-Codes-Chart-908924.pdf

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Functional Reporting

Severity and Complexity modifiers to be applied to the G codes

Therapy Managers

Review

Review your current Chargemaster

Check

Check that codes are in the correct revenue code

Check

Check that therapy modifiers are on the correct codes

Make

Make sure that all functional codes are available

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Learning Outcomes

� List the most common 3 modifiers used in the Radiology Chargemaster

� LT, RT, 50

� Identify the different therapy revenue codes

� 420s

� 430s

� 440s

Learning Outcomes

� Describe why revenue codes are important

�They communicate type and location of procedure or supply

� Describe the role of department managers in maintaining the Chargemaster

�Verify new charges

�Communicate new services

�Maintain up to date

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QUESTIONS?

Coming Up…..

� Tuesday, January 16, 2018, 11 am EST

Draffin and Tucker presents:

Cost Report 101:

The Who, What, Where, How and Why of the Cost Report

� Friday, December 29, 2017, 1 pm EST

RHC: Workflow Analysis

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CONSORTIUM SUPPORT:

WEBSITE DASHBOARD

IOWA

www.hthu.net/iahtc

GA/FL

www.hthu.net/htc17

Contact us for password

PROGRAM CALENDAR

“Cheat Sheet”

FEBRUARY 8, 2018 2pm EST

� We will cover:

� Supply

�Pharmacy

� Lab

These are large departments in the Chargemaster

Prior to the webinar review the charges and be familiar with these departments.

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ResourcesResourcesResourcesResources

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Visit the Dashboardto be added to the mailing list!

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Standard Pre-Built Programs For: Clinical, Non-Clinical and Long-Term Care Staff

Customize Programs For: Departments, Multiple

Locations, or with System-specific information

New Hire Orientation For: Onboarding New Employee

with Facility Information and required topics of compliance

Utilizing HTHU annual employeeeducation program, healthcare teamswill learn how to comply with many ofThe Joint Commission, DNV, OSHA andother regulatory requirements, safelytreat patients in varying age groups,maintain confidentiality, increasequality and minimize risk, reportinappropriate situations, providepositive patient experiences andprofessional behavior for your facilityand so much more!

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ANNUAL EDUCATION SOLUTIONS

• Choose courses from HTHU Course Catalog• Work with HTHU Staff to identify topics most

applicable to your team• Incorporate topics being utilized in live training or

internal meetings to online forum• Quizzes, Evaluations and Acknowledgements for

Staff Records• Increase productivity by using online education!• Tell your HR manager about our education!

http://hthu.net/course-catalog/customized-annual-education/

Questions?

Questions about these resources or Upcoming

Events?

Contact:

Sandy Sage, Financial Program Lead

[email protected]

or

Jennie Price, SHIP Program Manager

[email protected]

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TELL US HOW WE DID!

A survey will launch after this webinar

closes: please take a moment to give us

your feedback on the training, speaker,

content, webinar format, and anything

else you can share!

If there’s something we can help your

hospital with, please let us know!

References� https://www.cms.gov/Medicare/Medicare-Fee-for-Service-

Payment/PhysicianFeeSched/Downloads/FAQ-Mammography-Services-Coding-Direct-Digital-Imaging.pdf

� https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Downloads/HCPCSLevelIICodingProcedures7-2011.pdf

� http://bok.ahima.org/doc?oid=106784#.WgR_sGhSxPZ

� https://www.bcbsnc.com/assets/providers/public/training/g_code_crosswalk.pdf

� http://www.mainstreetradiology.com/File%20Library/pdf/cpt-code-final.pdf

� https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c13.pdf

• https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c01.pdf

12/13/2017

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References

� https://www.bcbsnc.com/assets/providers/public/training/g_code_crosswalk.pdf

� http://www.mainstreetradiology.com/File%20Library/pdf/cpt-code-final.pdf

� https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c13.pdf

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