1. September 2013
In This Issue
1.1
Medicare
Releases 2014
Proposed Rule
for Radiology
HOPPS and ASC
Billing
1.2
Effective Steps to
Avoiding Denials
in Radiology Billing
2.3
Multiple Procedure
Payment
Reduction (MPPR):
The Basics
2.4
Using GEMs for
ICD-10 Preparation
www.healthinfoservice.com
(855) RING-HIS
350 S. Northwest
Highway Suite 200
Park Ridge, IL 60068
Effective Steps to Avoiding Denials in Radiology Billing
The truth is, without the right foundation,
your claims submissions may be fraught with
errors or omissions that increase returns and
denials. Often, the cornerstone necessary
for a strong claims submission foundation
is overlooked. The most critical step in
submission is the gathering of information;
if you don’t have the right information, you
cannot submit a proper claim.
In this free eBook, we outline steps to help
you avoid denials in radiology billing.
Click here to access now.
Medicare Releases 2014 Proposed Rule
for Radiology HOPPS and ASC Billing
Breast biopsy codes 77031, 77032, 76098,
19103, 19290, and 19295 were
identified as procedures that are
reported together more than 75% of the
time and therefore will be subject to the
bundling in the 2014 proposed
changes. These codes represent the
biopsy codes, the guidance codes,
the clip placement and the surgical
specimen. Apparently they will no longerbe separately reported.
The RBMA posted this proposed information regarding free-standing
facilities.
Click here to read more.

2. Have Questions? We’re happy to help.
Healthcare Information Services (HIS)
(855) RING-HIS
350 S. Northwest Highway, Suite 200
Park Ridge, IL 60068
www.healthinfoservice.com
HEALTHCARE INFORMATION SERVICES, L.L.C www.healthinfoservice.com
Using GEMs for ICD-10 Preparation
October 1, 2014 is the deadline put in
place by the Centers for Medicare &
Medicaid Services (CMS) for switching
to the ICD-10 standard for medical
coding. The impending switch
is an issue that many healthcare
practitioners need to devote some time
and effort to so that they will be able to
adapt to it by this deadline.
GEMs, or General Equivalence Mappings, allow medical firms to have a
crosswalk between the older ICD-9 codes and the new ICD-10 codes so
that they can increase their efficiency when considering how to prepare
for ICD-10 conversion. In order to maximize the value that your practice
receives from these GEMs, you must keep a few important concerns in
mind.
Click here to read the full article.
Multiple Procedure Payment Reduction (MPPR): The Basics
Physician billing can be complicated, especially if you
work with Medicare. But even commercial companies
impose a Multiple Procedure Payment Reduction,
or MPPR, in some instances. Here at Healthcare
Information Services, we want to make sure that you
understand this insurance procedure, and why it occurs.
Click here to read the full article.