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Radiology Coding Alert

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G0206 or 77055? Test Your Mammogram Coding Skills

Published on Mon Oct 04, 2010

Plus: Review CMS's 2010 updates to signature requirements.How sure are you that your mammogram program is compliant?In September, a radiology tech at a Georgia hospital was indicted on charges of submitting false mammogram reports, marking them as complete and entering "negative" results although a physician had not reviewed the exams. The hospital made a public announcement in May that more than 900 mammograms went uninterpreted (and they uncovered nearly 400 more since then).Plenty of people have plenty of questions about what actually happened in this case, which, hopefully, involves more fraudulent intent than anything you'll ever see. But that doesn't mean you can let your guard down. There are plenty of smaller mistakes that can add up to trouble in an audit. Do your part to prevent problems by testing your knowledge of Medicare's mammogram coding rules and signature requirements. Question 1: In Transmittal 327, CR 6698 (www.cms.gov/transmittals/downloads/R327PI.pdf), Medicare [...]
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