Relevant, Timely Medical and Radiation Oncology News

Constant advancements in medical technology and healthcare regulations mean the oncology industry is dynamic and fast-changing. To keep clients on the leading edge of what's happening, Revenue Cycle Inc. maintains the news section of its website as a clearinghouse for oncology news, CPT® coding and/or business operations. Whether it's a legal change that could affect our industry or a tip about oncology coding, you'll find it here.

For more information about how our team of expert consultants can help your practice stay current on these industry changes, visit our medical and radiation oncology service page.

October 2017 Radiation Oncology News

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I Am Sure You Already Know

If you are reading this, I am sure you already know things like simulations are bundled with IMRT treatment techniques, calculations are billable with 3D treatment planning, calculations are not billable with conventional treatment planning, IGRT is not always billable, etc. Now, if you are reading this and did not know these things you might have missed prior articles, are new to Revenue Cycle Inc. or perhaps a friend or colleague sent this to you.  Regardless of reason, now might be a time to take a hard look at processes in place to ensure this type of important information is not overlooked and to be certain you are billing appropriately for services provided.

How often do you check for industry updates regarding coding and billing? Do you check for the newest Procedure-to-Procedure edits, do you check for CPT and HCPCS updates, Medicare Claims Processing Manual updates and Final Rule publications? Do you know how to locate your Local Coverage Determinations (LCDs) to confirm documentation requirements have been met? Unfortunately, previous payments are not an appropriate measuring tool for compliant coding, documentation and billing practices, which is demonstrated by successful post payment reviews conducted by government payers. Just because your organization was paid for services does not mean the services were reported correctly and consequently payment can be recouped upon discovery of errors.  

Revenue Cycle Inc. can assist with ensuring you have the most efficient and most accurate information and processes in place to be certain you are documenting and billing for services appropriately. We, and our family of companies, including Coding Strategies Inc., offer a wide range of resources and services to meet your needs from the most basic to daily coding support. Additionally, if you know someone who might need this type of ongoing information, please do not hesitate to forward this information and get them enrolled in our email distribution so they too can receive up-to-date time sensitive industry news.

September 2017 Medical Oncology News

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Back To Basics

When documenting, we all strive to provide supporting documentation for each process. In doing so, sometimes we fail at the basic requirements. We get so caught up in detailing each and every step; listing how many catheters, what type of imaging was utilized, who was present... that we forget the basic information such as: patient's name, identifying factors, date of service, etc.

The Electronic Medical Record should help to eliminate these types of errors by utilizing the available tools and system functionality, but if the beginning process is incorrect, errors can and will occur. The initial creation of an electronic template is a crucial time. Take time to ensure that everything is correct before implementation. Does the document clearly state the date of service? Does the document allow for required elements for the corresponding procedure? Does the document include the required components for an electronic approval or signature? These are some questions to consider when creating an accurate, easy to use document.

It is recommended to utilize a standard format when developing electronic forms and templates to ensure required elements such as dates, patient identifiers and electronic approvals are consistent for all users and procedures. It is further recommended to gauge accurate use and completion of the documentation by the intended users once the document has been implemented. Timely identification and correction of documentation issues may prove to be beneficial in the event of a payer review and could provide improvements in the quality of documentation available for other providers and clinicians. 

To be certain that your practice and facility have the required documentation elements and the medical record supports the services billed, Revenue Cycle Inc. recommend a comprehensive medical record review. For more information on our consulting services, please contact us here or 512-583-2000.