Merlino Healthcare Consulting is committed to sharing its knowledge by publishing regularly in national and regional publications. Some complementary archived newsletters are available below for download. Articles are in Adobe Acrobat (PDF) format.
– Edited by Denise A. Merlino, MBA, CNMT, CPC. FSNMTS, SNMMI Coding Advisor – MedLearn Publishing’s “Nuclear Medicine & PET Coder” book, edited by Denise Merlino, can help you understand this complex area of coding, policy and reimbursement.
Highlights include:
For 2020, nuclear medicine providers face an unprecedented set of threats to their bottom line, including the most significant CPT® code changes in nearly a decade. Now, more than ever, you must make sure you’re capturing the full legitimate payment.
FEATURES AND BENEFITS
- Step-by-step through coding and documentation for a full range of nuclear medicine and PET procedures
- Easy to navigate — codes are grouped by body system and then by code sequence
- Special help with common areas of confusion and noncompliance, such as:
- Under-reporting radiopharmaceuticals
- Omitting CPT codes for certain procedures
- Unbundling codes
- Billing for the incorrect number of radiopharmaceutical units
- Covers code assignments by both hospital (technical) and physician (professional) entities
- Each section includes:
- Table of drugs and radiopharmaceuticals typically used for nuclear medicine procedures, along with the pertinent HCPCS and revenue codes
- Definition of each procedure with its corresponding CPT® code
- Coding and billing tips for each code
- Payment tables based on the current Medicare physician fee schedule (MPFS) and the hospital outpatient prospective payment system (OPPS)
For more information and ordering details
Articles
The Medicare Claim Has Been Denied – What Do I Do Now?, March/April 2014, Society of Nuclear Medicine and Molecular Imaging (SNMMI) UPTAKE, page 1.
Coding Update: The Charge Description Master, July/August 2003, Society of Nuclear Medicine (SNM) UPTAKE, page 3.
Medically Unnecessary? Use ABNs to Tell Patients in Advance, May/June 2003, Society of Nuclear Medicine (SNM) UPTAKE, page 5.
2003 HOPPS Reimbursement: Proper Cost Data is Vital for Future Payments, March/April 2003 Society of Nuclear Medicine (SNM) UPTAKE, page 2.
Oxford Health Requires Accreditation of Nuclear Cardiology Labs, Fall 2002, Society of Nuclear Medicine (SNM) UPTAKE, page 6.
Nuclear Medicine Reimbursement: What’s Next? Summer 2002, Society of Nuclear Medicine (SNM) UPTAKE, page 2.
2002 Coding and Reimbursement Updates from Mid-Winter Meeting, Spring 2002, Society of Nuclear Medicine (SNM) UPTAKE, page 3.
Understanding APCs for Nuclear Cardiology, September/October 2000, Journal of Nuclear Cardiology (JNC), volume 7, number 5; 528-38.
Do You Want to Know More?
If you did not find your medical imaging coding or reimbursement answer in one of the above articles, and you are interested in finding out more about our services, contact us for a customized price quote at Merlino Healthcare Consulting Corp.