In Every Issue


By AHRA Staff

November 2010New Members
The staff and members of AHRA warmly welcome the following new members!

Maria Bailey, Port Charlotte, FL
Brian Baker, Brentwood, TN
Wanda Biokua, Westwood, NJ
Katherine Bond, Columbia, TN
Matthew Carr, Houlton, ME
Natalia Dmitrieva, Mexico, DF Mexico
Kelly Dunkelberger, Shillington, PA
Joey Dunn, Washington, DC
Amy Engelke-Flores, Los Angeles, CA
Itoro Etuks, Coral Springs, FL
Sheryl Fall, Teaneck, NJ
Lisa Fernandez, Los Angeles, CA
Richard Fregoe, Brasher Falls, NY
David Gatesman, Camp Hill, PA
Danielle Jaramillo, Barrington, IL
Michael Kolesar, Atlanta, GA
Slava Kroo, Los Angeles, CA
Michael Lamb, Aurora, CO
James Lambert, Colby, KS
Monica Lawson, Corbin, KY
William Lay, Corbin, KY
Rolando Martinez, Los Angeles, CA
Kimberly Masters, Orrville, OH
Jennie Mezick, Annapolis, MD
G. Owolabi, Los Angeles, CA
Donna Peters, Sedalia, CO
Terri Sherry, Fairmount City, PA
Patricia Snakenberg, Moline, IL
Nancy Storad, Wadsworth, OH
Linda Tolerico, Fairfax, VA
Frank Tumminia, Rochester, NY
Shelley Wells, Shreveport, LA
Brent Wilson, Baker City, OR

Do you know someone who can benefit from an AHRA membership? Let us know! Send the contact information to our membership department at memberservices@ahraonline.org. If your referral joins, you’ll be listed here as well!


November AHRA Webinar: What Radiology Administrators Need to Know About ICD-10

Presented by: Melody W. Mulaik, MSHS, CPC, CPC-H, RCC, President, Coding Strategies, Inc., Powder Springs, GA

Effective October 1, 2013, hospitals will replace the ICD-9 diagnosis and procedure coding system with ICD-10.  Although the ICD-10 codes will be assigned primarily by staff in the hospital’s health information management department, the implementation of ICD-10 will also affect the radiology department in a variety of ways.  For example, due to the structure and granularity of the ICD-10 code set, there may be a need for new or different information in the radiology report to allow proper coding.

This session is designed to give radiology administrators the information they need to get ready for ICD-10 implementation.  It will provide a high-level overview of the reasons for the adoption of ICD-10, the timeline, and the most fundamental differences between ICD-9 and ICD-10.  The remainder of the session will focus on the potential effects of the ICD-10 implementation on the radiology department, as well as some specific steps administrators should take to prepare for the transition.  Participants will have an opportunity to submit questions online during the session as well as by phone during the question and answer period at the end of the session.
To register for this and other upcoming webinars, click here.


Online Institute Feature

Radiology Management Quick Credit: EHR and the Real Meaning of Technology Adoption
By Rodney W. Sappington, PhD (ABD)

When we seek to transform healthcare delivery through deploying EHR we are doing something quite different from merely gaining efficiency or attempting to save costs. We are transforming how patients manage disease and a healthy life.

Click here to view this and other archived webinars, Quick Credit articles, Professional Development Series textbook chapters, and conference sessions, as well as to take the associated CE exams.


From the Forum

Building upon the popularity of the AHRA List Server, the new AHRA Forum is the next incarnation of a members only discussion group. It has new features, increased functionality, and incorporates a searchable archive of 90,000+ messages brought over from the List Server. Easily accessible, this networking tool enables real time dialogue among imaging professionals through AHRA’s website or via email.

Below is a recent discussion:
“C-arm useage in OR for port placement: Is everyone charging a fluoro charge or is this one of the procedures where it is considered to be included in the OR charge?

“We have recently opened an OR and I am trying to understand and capture all charges from the imaging side.  Any help on the whole set up would be appreciated.”

— Anne Bartlett

Responses:
— We charge for a fluoro guided CVAD.

— We have just purchased a C-arm. I’m interested in any and all charge codes you use for the C-arm. Can you help me in this area?

— They have posted my C-Arm Crosswalk from the AHRA Annual Meeting session on the Sample Document Library.

Remember, the C-Arm is a machine, not a procedure. Report the radiographic service, not 76000 fluoro.

— So after looking at the presentation, am I correct to say you can use 76001 for the rad tech’s time in the OR?

— Use 76001 only if there is no appropriate RS&I (radiographs) code or a statistical only (productivity) charge is used.

76000 is a stand alone procedure that is only used when no other service is rendered. Obviously there is a surgery procedure taking place in the OR suite.

– So another question is this: If a doc in the ER wants to use the C-arm for reducing a shoulder or hip, how is that charged? I didn’t see anything specific for this.

— Using fluoro to dig out a foreign body or to provide real time imaging for a manipulation would be the stand alone procedure that one would use 76000 Fluoro Less Than One Hour.

— I am probably making this seem harder to grasp than it is.  We used the C-arm in surgery for an insertion of a nerve stimulator. We charged for a pelvis since we took an x-ray from the C-arm.  Then after the procedure was finished, the doctor ordered a post op x-ray of the pelvis. What would the correct charges be for this: we started out with two pelvis charges and we were going to drop one of them. Or do you attach a modifier?

— Actually, I would report 76001 Fluoro with 61885 or 61886 Neurostimulator. There are no restrictions on these codes being reported together.  Or: If you have an order for both pelvic radiographs then you would charge with a -76 Repeat Procedure by Same Physician. (72170 and 72170-76)

That is also the modifier you should be using when doing an initial and post reduction radiographs.

To read more of this conversation and for more information about the AHRA Forum, click here.

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