Course Description:

This course is designed to familiarize radiologists with basic concepts of billing compliance related to radiology, including:

·         Orders for diagnostic tests

·         Physician supervision of diagnostic tests

·         Documentation requirements for radiology reports

·         Unbundling and CCI edits

·         Modifiers

The course is self-paced and takes approximately one hour to complete.   It includes several hands-on exercises that are relevant to radiologists and will allow participants to be sure they have understood the key learning points.

Here are some of the questions that participants will be able to answer after taking this course:

·         When can I perform a different or additional exam than what was ordered by the referring physician?

·         What levels of physician supervision does Medicare recognize for diagnostic tests?

·         What constitutes direct supervision for an exam that uses intravenous contrast?

·         What types of exams require personal supervision?

·         What elements must be included in a radiology report to ensure correct billing?

·         Can I sign my colleagues’ reports when they are absent?

·         What are the CCI edits, and what does it mean when a service is “bundled”?

·         Why is modifier 59 important?

Upon completing the course, participants will print out a certificate of completion that can be filed as part of the group’s compliance plan documentation.