HCPro.com: Radiology Administrator's Compliance and Reimbursement Insider

Each month in the Radiology Administrator's Compliance & Reimbursement Insider, you get strategies and techniques used by leading hospitals, medical groups, and imaging centers to comply with Medicare, Medicaid, and other regulatory requirements. Now with free eTools!

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July 2008 (Volume 5, Issue 7)	view entire issue

Settlement reveals lessons for radiologists
Fred Steinberg, MD, of University MRI in Palm Beach County, FL, will pay the federal government $7 million to settle claims of healthcare fraud, according to an April release from the U.S. Attorney's Office for the Southern District of Florida. "Based on my knowledge, this case clearly illustrates that the [Office of Inspector General (OIG)] and members of the U.S. Attorney's Office are serious about enforcing the enacted laws that are designed to prevent these types of practices," says Larry W. Balmer, CCP, compliance and HIPAA privacy and security officer at Radiology, Inc., in Mishawaka, IN.

Medicare preserves local coverage determination for CCTA
There's good news for patients with heart disease. CMS has decided not to restrict reimbursement for cardiac CT angiography (CCTA), instead leaving the decision about coverage in the hands of local fiscal intermediaries. Specifically, CMS chose to make no change to section 220.1 of the National Coverage Determination Manual, "Computed Tomography" (Pub. 100-3, 220.1). CMS decided that no national coverage determination (NCD) on the use of CCTA for coronary artery disease is appropriate at this time, and that coverage should be determined by local contractors through the local coverage determination process or case-by-case adjudication.

Other recently-published articles from Radiology Administrator's Compliance and Reimbursement Insider:

Tips to obtain payment, despite plan denials

CMS issues test order signature clarification

Address test order protocol in hospital setting

ICD-10 execution date proposed: October 1, 2011

2009 MPFS offers imaging implications

MIPPA mandates imaging accreditation for all providers

Technologists play a major role in the revenue cycle

Common elements found in CIAs

Self-disclosure protocol clarified

Eight tips to improve MRI throughput

IDTFs get Claims Processing Manual chapter of their own

Medicare preserves local coverage determination for CCTA

Settlement reveals lessons for radiologists

Don’t let chart errors lead to further medical mistakes

Target safety issues to ensure older workers’ well-being

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