ZHealth Consulting, like our Publishing counterpart, specializes in interventional radiology (IR) coding and reimbursement. This specialty area involves accessing the body via a needle, catheter, probe, etc. to perform a diagnostic or interventional procedure in almost all anatomical sites. These procedures can be performed in the special procedures area, the operating room, the cardiac catheterization lab, the pain clinic, and many other areas where fluoroscopic guidance is available. Due to annual CPT coding updates and bundling edits, it is difficult to maintain coding proficiency. Missing one code can cost a facility thousands of dollars (and a physician hundreds).
Because IR is such a high compliance risk area, our ZHealth physicians, who have performed these procedures and are expert coders, provide coding audits, medical necessity reviews, and outsourced coding for both hospital and physician billing. As a peer, they can discuss with physicians the documentation and medical necessity issues encountered.
Interventional radiology procedures are some of the highest reimbursed – and most audited – outpatient services. One incorrect code can result in significant lost revenue and/or compliance risk. Do not wait for a payer audit to discover you are being paid incorrectly – contact ZHealth for more information.