Mastering Documentation: Best Practices for Radiological Services Compliance
Join us for an in-depth webinar designed to guide healthcare professionals through the essentials of documentation for radiological and diagnostic services. This session will walk you through the entire process, from understanding what constitutes a valid order and the creation of effective patient intake forms, to documenting medical necessity and ensuring that your records meet rigorous compliance requirements.
Our expert presenter will also cover common pitfalls, recent changes in regulatory requirements, and strategies for staying up to date with valid source documentation. Whether you’re new to the field or seeking to refine your processes, this webinar will provide practical insights and actionable tips for ensuring your radiological documentation is accurate, compliant, and audit ready.
Learning Objectives
The key elements of a valid order
How to document medical necessity beyond simply providing a diagnosis code
Required documentation for images
The training, qualifications, and equipment required for various diagnostic tests, including cardiovascular and neurological studies
Frequency limitations, correct documentation of test interpretations, and signature requirements
Overview of NCCI edits, proper use of modifiers, and how to avoid fragmented billing
Understanding Local Coverage Determinations (LCDs) and their impact on compliance
Effective strategies for maintaining thorough audit trails and responding to documentation requests
Areas Covered in the Session
What Constitutes a Valid Order?
The Benefits of a Patient Intake Form
Documenting Medical Necessity – It’s more than a supporting diagnosis code
Required Training and Qualifications for various Diagnostic Tests (e.g., Cardiovascular studies, neurological studies, etc.)
Required Equipment for various diagnostic tests (e.g., Nerve Conduction, VNG)
Frequency and Limitations for Certain Diagnostic Testing
Documenting the Interpretation
The Indication
Documentation requirements for the most common tests
Signature Requirements & Timeliness
The National Correct Coding Initiative (NCCI) edits (Unbundling)
The Appropriate use of Modifiers
Fragmented Billing
Understanding Local Coverage Determination (LCDs)
Learn More About It
Live Q&A Session
Suggested Attendees
Medical Coders – Beginners, Intermediate, and Advanced
Medical Billers and Billing Staff
Office Managers and Practice Managers
Physicians and Nurses
Non-Physician Practitioners
Qualified Healthcare Professionals
Healthcare Administrators
Medical Auditors
A/R Staff
Revenue Cycle Staff
Claim Handling Specialists
Medical Officers
Compliance Officers
Hospital and Medical Staff
Health Information Management (HIM) Professionals
Billing Consultants
Coding Supervisors
Medical Records Technicians
About the Presenter
Mrs. Jacqueline Thelian is a Healthcare Consultant, Certified Professional Coder & Auditor, Subject Matter Expert and sought after educator and Author with over thirty years' experience in medical coding and business management. Her extensive experience includes physician practice management, coding/billing compliance and reimbursement issues and she has taught extensively in Academic Medical Centers, The Chubb Institute, Hospitals, private physician practices and has conducted a variety of seminars for numerous Medical Societies.
She is also a AAPC Certified PMCC instructor for the PMCC (Professional Medical Coding wrriculum) Coding Certification Prep Course, and a Certified ICD-10 Expert Trainer. Her articles on clinical coding issues have been published in many popular healthcare publications.
Additional Information
System Requirement:
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to hear clearly
Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: [email protected]