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Radiology
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During the Review of the Radiology Department’s
Charge Master, we will verify the accuracy of CPT
Codes, Revenue Center Codes, Descriptions, and Modifiers.
We will also validate the correctness of Charge Explosions,
NCCI Edits, and bundlings/unbundling issues, as well
as meet with the Radiology Department’s Director
to determine that appropriate line item selection
processes are followed. The Review includes a sample
of medical records, UB-04s, and detail bills to insure
that the items selected from the Charge Master appear
in the medical records and meet compliance criteria.
As with all of our Reviews, education for our client’s
staff is an integral part of the process, as well
as timely reporting
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