LIFE CYCLE OF SERVICE
Our patient database: Record Information System
What is eRAD RIS
What is CPT
BRE
What is breast mammography
What is Imagine
Rejection
What are Claims that are sent back to provider by Clearinghouse before charges enter the payer’s claims processing system for missing required information
This tab displays scheduled visits and their status
What is the Patient Tab
CPT code set maintained by this association
CT
What is Computed Tomography
Tax Identification Number
What is TIN
Denial
Claims denied payer’s for not meeting certain billing requirements, but having all the required information to be accepted.
Translates written notes in the report into codes
What is 3M/CodeRyte
Describes services rendered
What are CPT codes
MRI
What is Magnetic Resonance Imaging
National Provider Identifier
What is NPI
Availity Essentials Pro
What is Clearinghouse used by RadNet to submit claims to the patient’s health insurance company
Revenue Cycle Management billing system
What is Imagine
2-position alpha or numeric code added to a CPT code to clarify the services being billed.
What is a modifier
NM
What is Nuclear Medicine
Form used for submitting physician/professional claims for providers
What is HCFA-1500 Claim Form
List two common related denials
Not Medically Necessary, Frequency Exceeds, Excess Units, Duplicate, Non Covered
eRAD RIS>3M>Imagine>
Availity>Payer>Medistream
What is the Revenue Cycle
Codes maintained by WHO to describe patient diagnosis
PET
What is Positron Emission Tomography
The system the charges go to upon leaving Imagine
Availity Essentials Pro
Houses all Remits and Payments
What is Medistreams