Tag Archives: faced

Billing Specialists to Look After Major Billing Issues Likely to Be Faced By Radiologists in 2013

Radiologists, who have been striving to maintain a balance between diagnostic priorities and operational compliance, may well find pulled further into a host of billing and compliance issues throughout 2013:

To begin with, they will have to discern the vital connect between diagnosis coding and procedural coding systems and the systems that have evolved to provide a common method of describing diseases, diagnoses, and procedures.

Second, like in other disciplines, they may be bound by the medical necessity clause while diagnosing high-cost tests. In fact, Medicare requires that the medical necessity of high-cost diagnostic radiology tests be proved and the extent to which they may be prescribed for beneficiaries by either primary care physicians or physician specialists. Therefore, radiologists need to be aware of both the medical necessity as well as the extent to which beneficiaries are entitled for radiology reimbursement under Medicare, Medicaid, or commercial health insurance plans.

Third, admissible radiologic expenses for Part B imaging services may be rationalized on par with industry standards. As a result, radiologists may see their reimbursements dropping or appreciation depending on where they stand vis-à-vis industry standards.

More importantly, radiologists may be under increased monitoring for billing errors, and irregularities. It could even lead to being black-listed for repeated history of billing malfunction. Therefore, it may require a concerted effort to stay clear of being guilty under Medicare, Medicaid, and other HHS programs or commercial health insurance plans.

These ensuing operational issues may prompt radiologists to:

Screen medical necessity and ask for advanced beneficiary notices (ABNs) on Medicare patients. This could require radiologists to function in tandem with the facility staff at the patient’s hospital to ensure the ABNs are accompanied by component fee as well.
Be prepared for Recovery Audit Contractors (RACs) and Comprehensive Error Rate Testing (CERTs), which are integral to standard scrutinizing. This would call for tactical and shrewd documentation and explanation of the radiologic services billed for claiming.
Evaluate templates and exam titles in accordance with the prevailing standard of equipment, technique or procedure, and the admissible CPT codes as amended from time to time.
Establish smooth communication with billing processes during revision to equipment, techniques or procedures. This would ensure that the modifications are adequately reflected in coding and billing, and claims are devoid of either under-coding or up-coding.
Make provision for reporting discrepancies, such as number of views or extent of technical complexity. This could help radiologists recover maximum claims as well as minimize the chance of denials and auditing issues

Even as radiologists seek to implement tactical moves to counter the impact of billing issues, they may find themselves swayed more towards clinical focus. That is why it makes sense to hire Radiology Billingspecialists for the purpose. Medicalbillersandcoders.com – having nation-wide affiliation with a chosen pool of radiology billing specialists – offers to deploy billing resources that are competent and experienced to address and maneuver radiologists through the billing issues likely to surface in 2013.

Medical Billers and coders (MBC) is one of the leading Medical Billing Companies in USA & help doctors to shortlist Medical Billing Companies, Medical Billing Services according to their preferences of specialty, city, software and services performed.

Vancouver Canucks Tickets : The Canucks Faced The Longest Road Trip In Nhl History

The Vancouver Canucks are a professional ice hockey team based in Vancouver, British Columbia, Canada. They are members of the Northwest Division of the Western Conference of the National Hockey League (NHL). They play their home games at Rogers Arena, (formerly General Motors Place) which has a capacity of 18,860.

The Canucks joined the league in 1970 as an expansion team along with the Buffalo Sabres (the 13th and 14th teams to join). In its NHL history, the team has advanced twice to the Stanley Cup Finals but lost both times (to the New York Islanders in 1982 and the New York Rangers in 1994). The Canucks have also won seven division titles, including their most recent during the 2009/10 NHL season.

In the 2009-10 season, the Canucks faced the longest road trip in NHL history, with 14 games over 6 weeks, from January 27 to March 13, 2010, as a result of Vancouver hosting the 2010 Winter Olympics. This allowed GM Place to be used for ice hockey during the games,which shut down the NHL for 2 weeks.

This marked the first time that an NHL market hosted an Olympics since the league allowed its players to compete in the games, beginning with the 1998 Games of Nagano. GM Place was “Canada Hockey Place” during the games, as the IOC wouldn’t allow corporate sponsorship for venues during the games. Their former home, Pacific Coliseum, also hosted events during the games, serving as the venue for figure skating and short-track speed skating.

That season, Henrik Sedin became the first Canuck ever to win the Art Ross Trophy by scoring 112 points. The issue was not resolved until the last day of play, when Sidney Crosby scored five points out of the eight needed to take home the trophy to Pittsburgh. Henrik would also eventually be awarded with the Hart Memorial Trophy as the league’s most valuable player, beating out nominees Crosby and Alexander Ovechkin.

At the end of the regular season, Vancouver finished first in the Northwest Division, and third in the Western Conference. They opened the playoffs by defeating the sixth place Los Angeles Kings in six games, but once again, were defeated by eventual winners Chicago in six games in the second round.

On October 9, 2010, during a pre-game ceremony to commemorate the teams 40 years in the NHL, Henrik Sedin was officially named team captain.

The initial owners were Tom Scallen’s Medicor group. In 1972, hints of impropriety were circulating about Scallen. He was charged with stock fraud (Though he still insists that he did nothing wrong) and spent the last two years of his Canuck ownership in prison.

In 1974 Scallen and Medicor sold out to Frank Griffiths. From 1988 to 1997, the Vancouver Canucks were owned by local businessman and philanthropist Arthur Griffiths, who had inherited ownership from his father, Frank. However, he was forced to sell his majority interest in the Canucks after overextending his resources trying to build a new arena, GM Place (currently known as Rogers Arena). As a result, he sold his majority share to American billionaire John McCaw, Jr..

On November 17, 2004, the Anmoli Investment Group, headed by Francesco Aquilini, purchased a 50% share in Orca Bay Sports and Entertainment (the owners of both the Canucks franchise and Rogers Arena) from John McCaw, Jr..Prior to the sale, Aquilini and two business partners, Tom Gaglardi and Ryan Beedie, had negotiated with Orca Bay for several months without concluding an agreement.

In January 2005, Gaglardi and Beedie filed a lawsuit against Aquilini and Orca Bay, alleging that Aquilini and Orca Bay had acted in bad faith in concluding a deal using information obtained from their joint offer.

On November 8, 2006, Aquilini, along with his brothers Roberto and Paolo, purchased the remaining 50% of the Vancouver Canucks and Rogers Arena from McCaw.

In May 2007, Gaglardi and Beedie’s civil lawsuit over Aquilini’s purchase reached the Supreme Court of British Columbia. The court ruled for Aquilini, on January 10, 2008. The court held that there was no legal partnership between Aquilini, Beedie, and Gaglardi, and that McCaw was free to sell the team to anyone he wished.

On January 29, 2008 the company responsible for operating the Vancouver Canucks and Rogers Arena, changed its name from Orca Bay Sports and Entertainment to Canucks Sports & Entertainment.

The Vancouver Canucks’ mascot is an anthropomorphic killer whale (orca) named Fin Orca or Fin the Whale. He is often seen banging a First Nations drum, or skating around during intermission firing t-shirts out of the Boston Pizza compressed air cannon. On occasion, “smoke” also comes out of the “blowhole” on his head. Fin has his trademarked “chomping” where he “bites” the heads of fans.

Cynthia Hoffman is the author of Ticketwood.com . Ticketwood is a leader tickets market search engine that enable Ticket shoppers to easily find, compare and buy Vancouver Canucks Tickets sports tickets, theatre tickets NHL Tickets plus other events tickets.