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Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog

Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog

SINGAPORE AS A MEDICAL TOURISM DESTINATION

Host of the first ever Youth Olympic Games, the tiny island of Singapore is also famous for many more things big and small. Claiming to be Asia’s leading medical hub, Singapore has long been the choice of destination for major medical care for patients from neighbouring countries viz., Indonesia, Malaysia, Brunei, Cambodia, Vietnam, the Middle East, Indochina, Greater China, and so on. Today, even Americans, Canadians and Europeans are choosing Singapore as a medical tourism destinationfor healthcare that is low, price-wise and just-like-the-West, quality-wise.

 

SINGAPORE’S HEALTH CARE DELIVERY

There are 15 hospitals and medical centers in Singapore that have obtained the united States-based Joint Commission International (JCI) accreditation. That is a large concentration of JCI accredited hospitals in one country. A JCI accreditation gives the healthcare provider the top-quality label which in turn gives the patient the peace of mind that the service received will be on par with or superior to what is available in the United States.

To appeal to patients from Europe and other Asian nations, Singapore hospitals are also looking towards European and Asian-based hospital accreditation systems. This says a lot about the quality of healthcare delivery. Not just that, hospitals in Singapore have strategic partnerships with many acclaimed overseas institutes like Harvard Medical School. Such alliances give them access to the latest cutting-edge medical technology. Also, it is common for doctors and surgeons in Singapore hospitals to have an overseas education and training.

TOP SINGAPORE HOSPITALS AND COMMON PROCEDURES:

Some of the most famous hospitals in Singapore are National Heart Centre (NHC), Parkway Hospitals (including Mount Elizabeth Hospital, Gleneagles Hospital, East Shore Hospital), Tan Tock Seng Hospital (TTSH), and Raffles Hospital. Some of the common medical procedures sought in these hospitals are cardiac bypass surgeries, joint replacement procedures, cosmetic or plastic surgeries, cancer therapies like chemotherapy and radiation therapy, and so on. Increasingly, Singapore is becoming popular as an organ transplantation destination as well. Patients visit Singapore from all over the world for transplant surgeries such as liver transplant, kidney transplant, and hair transplant.

There are also several dental offices island-wide that offer good dental services to foreigners for cheap. A lot of tourists coming into Singapore combine vacation with a health check (preventive and wellness checkups) on the side.

 

SINGAPORE’S USP IN THE MEDICAL TOURISM INDUSTRY

Things that set Singapore apart from others vying for business in the medical tourism industry are:

Prosperous country: Unlike other medical tourism destinations in the world that are mostly developing countries, Singapore stands out as one of the most prosperous nations in the world with a per capita GDP equal to that of the leading nations of Western Europe.

Cosmopolitan image: About a quarter of the population is composed of residents from foreign nations making the country culturally diverse. Sensitivity and respect towards people from other cultures, ethnicities and religions is, therefore, at the heart of the society. For international patients seeking medical treatment in Singapore, this is a big plus.

High service standards: High service standards in all sectors of the economy, and not just in the health care sector, give Singapore a significant advantage in the medical tourism industry.

English as an official language: You will not have to worry about learning another language or bother with interpreters because English is the most commonly spoken language in the country.

Tourism: Medical tourists traveling to Singapore often visit the several tourist attractions the country offers. In fact, tourism in Singapore is a major industry and attracts millions of tourists each year. From cultural attractions to natural and heritage conservation sites, and from adventurous activities to relaxation retreats, Singapore caters to every type of tourist.

 

IN SUMMARY

Singapore may not be the cheapest option available to you in terms of health care but with a price differential of 60-80% (compared to US hospital rates) on major medical care, the cost savings still amount to a lot. High quality of care offered in modern facilities using state-of-the-art technology and equipments makes Singapore a top medical tourism hub.

So, if you need top class medical care but do not have the means to pay for it then get your local doctor’s reports together and call upon a reputed medical tourism facilitator such as Healthbase for affordable treatment in Singapore.

About the author:

The author works for Healthbase (www.healthbase.com), a medical tourismfacilitator that connects patients to high quality healthcare in USA and abroad for a fraction of the typical cost of care in US, Canada and UK.

More Medical Coding Articles

Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog

Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog

Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog

Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog

Variation of skin color for Medical examination

knowledge of the variation of the skin’s color aids effective examination as well as makes you (the doctor) smart enough not to give wrong diagnosis. In general, color changes of significance include pallor, cyanosis, erythema, plethora, ecchymosis, petechiae and jaundice.

 

Pallor and cyanosis

The skin receives its pigmented color of yellow, brown, and black melanin and its shades of red or blue from the color of hemoglobin. Oxygenated hemoglobin in the superficial capillaries of the dermis gives a rosy, pink glow. Reduced (deoxygenated) hemoglobin reflects a bluish tone, through the skin, called cyanosis, which is evident when reduced hemoglobin levels reach 5mg/dl of blood or more, regardless of the total hemoglobin. In general, the darker the skin pigmentation is, the greater the amount of deoxygenated hemoglobin must be for cyanosis to be evident.

 

Pallor or paleness, is evident as a loss of the rosy glow in light-skinned individuals, an ashen-gray appearance in black-skinned children. And a more yellowish brown color in brown-skinned people. It may be a sign of anemia, chronic disease, edema, or shock. However, it may be a normal complexion characteristic or an indication of indoor living.

 

Pallor or cyanosis is most evident in the palpebral conjunctiva (lower eyelid), nail beds, earlobes (mainly for light-skinned children), lips, oral membranes, soles and palms. Pallor or cyanosis can be compared to the color change normally produced by blanching. For example, in non-pigmented nails, pressing down on the free edge of the nail on the index or middle finger of a child with good skin color produce marked blanching or whitening as compared to the return blood flow. In a child with pallor the difference in color change will be slight. The blanching color change can be observed in dark-skinned individuals by gently applying pressure to their lips or gums.

 

Erythema

Erythema, or redness of the skin, may be the result of increased temperature from climatic conditions, local inflammation, or infection. It may also appear as a sign of skin irritation, allergy, or other dermatoses. The degree of redness reflects the amount of increased blood flow to the area. The doctor notes any reddening and describes its location, size, presence or warmth, itching, type of distribution (diffuse, clearly circumscribed, parallel to a vein, and so on) and the presence of characteristic lesions, such as maculae, papules, or vesicles. Because erythema is much more difficult to assess in darkly pigmented individuals the doctor must rely heavily on careful palpating the area for the evidence of associated signs, such as warmth or skin lesions. Primary lesions appear on the non-damaged skin. Secondary lesions come out after primary ones.

 

Plethora

Plethora is also seen as redness of the skin but it is caused by increased numbers of red blood cells as a compensatory response to chronic hypoxia. Intense redness of the lips or cheeks is observed.

 

Ecchymosis and Petechiae

Ecchymosis and petehiae are caused by extravasation or hemorrhage of blood into the skin, the only difference between the two is in size. Ecchymoses are large, diffuse areas, usually black and blue in color, and are typically the result of accidental injuries in healthy, active children. Since ecchymotic areas can be indicative of systemic disorders or of child maltreatment. The doctor should always investigate the reported cause of the bruises, especially when they are located in suspicious areas, such as the back or buttocks, rather than on the knees, shins, elbows, or forearms.

 

Petechiae are small, distinct pinpoint hemorrhages 2mm or less in size, which can denote some type of blood disorder, such as decreased platelets in leukemia. Because of their size, ecchymoses are more readily observed than are petechiae, which may only be visible in the areas of very light-colored skin, such as the buttocks, abdomen, and inner surfaces of the arms or legs. They are usually invisible in heavily pigmented skin, except in the oral mucosa, the palpebral conjusctiva of the eyelids, and the bulbar conjunctiva covering the eyeball.

 

The doctor can distinguish the areas of the erythema from ecchymosis or petechiae by blanching the skin. Since erythema is the result of increased blood flow to the area, exerting pressure will momentarily empty the engorged vessels and produced by blood leaking into tissue spaces, blanching will not occur.

 

Effective examination of the skin color can be achieved if you put these few points into consideration.

 

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Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog

Coding and Billing Considerations in Interventional Radiology

A radiology practice that performs interventional procedures will want to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services.  These CPT® codes in the 99xxx range are less commonly utilized in radiology practices.  Identifying circumstances where E&M services are billable, and then properly documenting and coding for them, will require a collaborative effort between the interventional radiologist (IR) and his or her coding team.


Radiology Billing and Coding Blog