New Radiology Contrast Materials And Radiopharmaceuticals Crosswalk Available in Advisor Tab

Two new tools have recently been added to the Advisor tab in the PDE. Crosswalks to the appropriate HCPCS codes for radiologic contrast materials and radiopharmaceuticals and their corresponding CPT codes are now available

The crosswalks also provide information about the types of studies for which each drug is used, the associated NDCs, suggested revenue codes, CCI edits, MUEs, and more

In most cases, submitting charges for contrast and radiopharmaceuticals will not result in additional Medicare reimbursement for an OPPSfacility (Critical Access Hospitals are paid on a cost-reimbursement basis by Medicare.) However, it is still important to report the charge for the contrast agent or radiopharmaceutical for two reasons:

- Medicare bases APCreimbursement on cost data collected from hospital claims, and

- Some payers (like Medicaid) will reimburse contrast separately

Clients can access these tools via the Advisor Tab in the PDE:

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PARA invit es you t o check out t he m lnconnect s page available from t he Cent ers For Medicare and Medicaid (CMS). It 's chock full of new s and inform at ion, t raining opport unit ies, event s and m ore! Each w eek PARA w ill bring you t he lat est new s and links t o available resources. Click each link for t he PDF!

Thursday, April 27, 2023

New s

- Hospital Price Transparency Enforcement Updates

- For the First Time, HHSIs Making Ownership Data for All Medicare-Certified Hospice and Home Health Agencies Publicly Available

- Behavioral Health Integration Services: Find Out What Medicare Covers & Who?s Eligible

Claim s, Pricers, & Codes

- HCPCSApplication Summaries & Coding Decisions: Drugs & Biologicals

Event s

- 2023 Quality Conference ? May 1?3

MLN Mat t ers®Art icles

- Home Health Claims: Telehealth Reporting

- Skilled Nursing Facility Prospective Payment System: Updates to Current Claims Editing