Radiology Audit Risks: Bundling, Diagnoses, Modifiers, and Key Tips & Traps


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Title: Radiology Audit Risks: Bundling, Diagnoses, Modifiers, and Key Tips & Traps


Presenter: RAshley Carson, CPC, CCS-P, Director of Consulting and Coding for Revenue Cycle Coding Strategies and K-cee Smith, CPC, Consultant with Revenue Cycle Coding Strategies. (www.rccsinc.com)


Time: 59.37 minutes


Understand the common audit risks associated with radiology procedures, including bundling issues, diagnosis coding tips, modifiers, and other key information about how to code appropriately and compliantly for radiology services.



  • Identify common coding errors and auditing risks for radiology services and learn how to avoid them.
  • Learn common mistakes made regarding bundling, diagnosis coding, use of modifiers, and other tips to avoid non-compliance.
  • Gain understanding of practical methods for applying this knowledge to your radiology practice or facility.


Key points:

Audit Process details - Standards and strategy, Scope, Workflow, Findings, Improvements

Discussion Items

  • Provider vs Coder – Vocabulary and other Nuances, Clarity and Specifications
  • Missing/Incomplete Documentation – Report Element Requirements, Report Documentation Tips
  • Common Findings and Flags – Orders vs Documentation, Number and Type of Views (Technique), Contrast Studies, Screening vs Diagnostic, Complete Studies vs Limited Studies
  • Procedure Specific Errors – X-ray, Ultrasound, CT/CTA, Lung Cancer Screening, CT A&P, MRI/MRA, PET, Mammograms
  • Diagnosis - Guidelines for Documentation, Common Diagnosis Related Questions


Revenue Cycle Consulting



Revenue Cycle Coding Strategies