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Latest Discussions

  • Hello Our experience has been similar. The regional systems have a slightly higher percentage of 77407 (83%) compared to our main hospital (80.7%). Overall the distributions are: Cleveland Clinic CPT HCPCS Code Total ... More

  • Posted in: Payer Trends

    All, It is worth noting that the new Evicore guidelines do include using active motion management for left breast and for right breast with IMN (see pg 117 of attached). So strange to me that they published these in January but aren't effective until ... More

  • Posted in: Payer Trends

    We have received denials from Evicore and Evolent. They are taking the stance that only abdominal treatments need motion management. We are winning some and losing some. ------------------------------ Liz Hyde MBA, R.T., (T), CTR Director of Radiation, ... More

  • Am not sure it is fun, but we do a cost sheet within the radiation department (a trained MA and a RTT as backup) after the sim, based on the directive and sim, of all codes we will charge. It has become so complex that it is hard outside of the radiation ... More