ULTRASOUND DOCUMENTATION REQUIREMENTS

Test Your Know ledge

Below is an example of a radiology report for a complete abdominal ultrasound Does this documentation meet the criteria for reporting a complete exam of the abdomen?

Answ er: No, this report does not meet the documentation criteria for reporting a complete abdominal ultrasound. There is no documentation of evaluation of the inferior vena cava (IVC), which is a component of a complete abdominal US. If the IVCwas evaluated, the radiologist should include this documentation in the report to support a complete study In this instance, an amended or corrected report could be issued to support charging a complete study

Conclusion

Code selection for diagnostic ultrasound is based on a variety of very specific documentation requirements. Clear documentation is extremely important to ensure proper coding and reimbursement Code descriptions and documentation should be reviewed carefully, and when unclear, the provider should be queried

CorroHealt h invit es you t o check out t he m lnconnect s page available from t he Cent ers For Medicare and Medicaid (CMS). It 's chock full of new s and inform at ion, t raining opport unit ies, event s and m ore! Each w eek PARA w ill bring you t he lat est new s and links t o available resources. Click each link for t he PDF!

Thursday, June 8, 2023

New s

- CMSAnnounces Resources and Flexibilities to Assist with the Public Health Emergency in the Territory of Guam Due to Recent Typhoon

- CMSRoundup (June 2, 2023)

- Gender-Specific Services: Billing Correctly and Usage of the Condition Code/Modifier

- Medicare Shared Savings Program: Apply for January 1 Start Date by June 15

- Skilled Nursing Facility Value-Based Purchasing Program: June Feedback Report

- Short-Term Acute Care Hospitals: Program for Evaluating Payment Patterns Electronic Reports

- Medicare Providers: Deadlines for Joining an Accountable Care Organization

- Help Address Disparities in the LGBTQI+ Community

Claim s, Pricers, & Codes

- National Correct Coding Initiative: July Update

- Integrated Outpatient Code Editor: Version 24.2

MLN Mat t ers®Art icles

- Allowing Audiologists to Provide Certain Diagnostic Tests Without a Physician Order