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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