healthcare-revenue-cycle-2

/in /by

Charge Description Manager

CAHIIM Objective: IV.A.2 Evaluate the revenue cycle management process

It is January 10th and your coding manager has just brought you a list of accounts that cannot be finalized because the CPT codes attached to the charges are not valid. You HIM systems were updated for the January 1 CPT code changes. Most of the accounts include a charge for 71234.

· Assess what could possibly be the “problem” and how will can it be fixed?

· Appraise the impact this “problem” could have on the revenue cycle (positive or negative)

· Follow-up with a plan to “fix” the current problem

· Provide a plan of how this can be avoided in the future

2017 Chargemaster:

Item Code

Service Description

Revenue Code

CPT Code

Price

72121

Angiography, pulmonary, by nonselective catheter or venous injection, radiological S&I

320

75746

90.00

72122

Angiography, internal mammary, radiological S&I

320

75756

85.00

72123

Angiography, selective, each additional vessel studied after basic examination, w/ radiological S&I

320

75774

160.00

71234

Angiography, AV shunt, complete evaluation of dialysis including fluoroscopy w/ radiological S&I

320

75791

179.00

Appendix B-Summary of Additions, Deletions, and Revisions (2017)

Radiology:

75791-Angiography, arteriovenous shunt (eg. Dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava), radiological supervision and interpretation

75962- Transluminal balloon angioplasty, peripheral artery other than renal, or other visceral artery, iliac or lower extremity, radiological supervision and interpretation

75964-Transluminal balloon angioplasty, each additional peripheral artery other than renal or other visceral artery, iliac or lower extremity, radiological supervision and interpretation (List separately in addition to code for primary procedure)

75966-Transluminal balloon angioplasty, renal or other visceral artery, radiological supervision and interpretation

76706-Code added

 
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