When the RAC team evaluates your data, they use a checklist based on the Local Coverage Determinations (LCDs) issued by the Medicare Administrators. Documentation and compliance with your LCD are key for reimbursement. Inadequate notes will fail review if the documentation does not adhere to the pre-determined requirements set forth by your LCD.
Modern and entrepreneurial hospital-based radiology groups are increasingly launching office-based endovascular and interventional strategies.
The purpose of this article is to provide clarity between when a diagnostic study performed at the same time as an interventional procedure can and cannot be billed.