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Related Concept Videos

Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
X-ray Imaging01:24

X-ray Imaging

German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with X-rays, and by 1900, X-ray was widely...

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Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources
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The RAC program: what can radiology providers expect as RACs begin auditing?

Abby Pendleton1, Jessica L Gustafson

  • 1The Health Law Partners, PC. apendleton@thehlp.com

Radiology Management
|January 27, 2012
PubMed
Summary
This summary is machine-generated.

The Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program is expanding nationwide. Radiology providers can use effective strategies to appeal claim denials from RAC audits.

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Area of Science:

  • Healthcare policy
  • Medical auditing
  • Radiology practice management

Background:

  • The Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program is now a permanent, nationwide initiative.
  • Increased auditing activity by RACs is anticipated for radiology providers.
  • Understanding the RAC program and its implications is crucial for compliance.

Purpose of the Study:

  • To inform radiology providers about the nationwide expansion of the CMS RAC program.
  • To advise providers on preparing for increased Medicare auditing.
  • To present strategies for successfully challenging claim denials during the RAC appeals process.

Main Methods:

  • Review of CMS program guidelines and expansion details.
  • Analysis of potential impact on radiology providers.
  • Identification and summarization of effective appeals strategies for RAC denials.

Main Results:

  • The RAC program's permanent, nationwide expansion necessitates proactive provider engagement.
  • Radiology providers face a heightened risk of Medicare audits.
  • Established strategies exist to effectively contest RAC-initiated claim denials.

Conclusions:

  • Radiology providers must prepare for increased RAC auditing due to program expansion.
  • Familiarity with and implementation of effective appeals strategies can mitigate the impact of claim denials.
  • Proactive compliance and strategic appeals are key for radiology practices navigating the RAC program.