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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Radiology Medical Billing for Hospitals and Imaging Centers

The financial stability of hospitals and imaging centers is closely associated with prompt billing and reimbursement. Hiring the services of medical billing companies would greatly help healthcare practices improve their revenue. It is fortunate that many established medical billing companies in the US offer consistent radiology medical billing services for hospitals and imaging centers to ensure them better claim reimbursement and an improved cash flow.

 

Timely Reimbursement of Claims

 

An experienced medical billing company can provide accurate billing services for hospitals and imaging centers. Using the services a professional billing service provider allows radiology practices and imaging centers to submit error-free medical bills within the specified time frame, and avoid possibilities of claim denial or rejection. Besides maximizing their reimbursement and revenue, they would also be able to save the time and effort needed to perform in-house medical billing procedures. Professional radiology medical billing services also ensure:

 

· HIPAA complaint medical billing service

· Better security and confidentiality for all data

· Interface with RIS (Radiology Information System)

· Continuous follow-up for unpaid or denied claims

· Fast turnaround time

· Flexible and customized medical billing solutions

· Round-the-clock technical assistance

· Daily, weekly and monthly billing status and practice analysis reports

 

Core Radiology Medical Billing Services

The billing experts, coders and other related personnel in medical billing companies are well-versed in all matters related to radiology medical billing and the latest norms. They accurately process medical bills and claims using advanced billing software such as Medisoft, NextGen, Misys, Lytec, IDX, Inception, and Eclipse. They can also work on the software specified by the client. The core services that come under radiology medical billing are:

 

· Patient enrollment

· Scheduling and re-scheduling

· Billing and reconciling of accounts

· Insurance verification

· Referrals

· Coding

· Insurance authorizations

· Payment posting with ERA

· Collections and AR collections

 

Choosing an Established Service Provider is Important

Professional radiology medical billing services help hospitals, individual radiologists, imaging centers and radiology departments. So facilities that plan to outsource their radiology medical billing tasks should seek the assistance of an established medical billing service provider. This would ensure customized radiology medical billing solutions at competitive prices.

 

Radiology Medical Billing – Outsource Strategies International (OSI) is a leading medical billing company in the US committed to providing fast and efficient medical billing services.

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Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)


The Centers for Medicare & Medicaid Services (CMS) has determined that HCPCS codes G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination) and Q0091 (screening Papanicolaou smear) are billable visits when furnished by a RHC or FQHC practitioner to a RHC or FQHC patient.

CR8927 instructs MACs to allow HCPCS codes G0101 and Q0091 to be billed as a standalone encounter/visit. These services will be paid the AIR on RHC and FQHC claims for 71X and 77X Types of Bills (TOBs), effective for dates of service on or after January 1, 2014. Please note that deductible and coinsurance are NOT to be applied to G0101 or Q0091. If other billable visits are furnished on the same day as G0101 or Q0091, only one visit will be paid.

G0101 or Q0091 are payable annually for women at high risk for developing cervical or vaginal cancer, and women of childbearing age who have had an abnormal Pap test within the past 3 years. It is payable every 2 years for women at normal risk. For FQHCs billing under the PPS, G0101 and Q0091 are qualifying visits when billed with FQHC payment HCPCS codes G0466 or G0467.

Please note: MAC will not search for claims that have been denied with HCPCS code G0101 or Q0091 prior to the implementation of CR8927, but will adjust any claims that you bring to their attention.

Reference: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8927.pdf


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