Q: We have one older radiology machine that still uses film. We are working on replacing it and don’t use it very much. Is there anything special that we need to do when reporting studies done on “old faithful”?
On Mondays, the facility where I work performs a self-audit on one- and two-day admissions that occurred over the weekend. We do this before the bill is dropped. If we find that an inpatient admission should have observation or outpatient, the billing department uses the appropriate codes for the claim and bills for Medicare Part B. Should we notify the patient of this change? Do we need to involve the physician who wrote the order?
Q: We just finished our annual CPT® review for our chargemaster changes and we noticed that there are new moderate sedation codes for 2017. The code descriptions are similar, but now we don’t know when we should report the moderate sedation. Moderate sedation has run the gamut from instructions to "report separately" and “don’t report separately,” and we don’t know what to do at this point.
