Evidence map›Paper›PMID 29552707›Full record

ReviewPediatric radiology2018

From imaging to reimbursement: what the pediatric radiologist needs to know about health care payers, documentation, coding and billing.

Chul Y Chung, Mark D Alson, Richard Duszak, Andrew J Degnan

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chul Y ChungDepartment of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Mark D AlsonSierra Imaging Associates, Clovis, CA, USA.
Richard DuszakDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Andrew J DegnanDepartment of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. degnana@email.chop.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical coding and billing processes in the United States are complex, cumbersome and poorly understood by radiologists. Despite the direct implications of radiology documentation on reimbursement, trainees and practicing radiologists typically receive limited relevant training. This article summarizes the payer structure including the state-based Children's Health Insurance Programs, discusses the essential processes by which radiologists request and receive reimbursement, details the mechanisms of coding diagnoses using International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes and imaging services using Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and explores reimbursement and coding-related issues specific to pediatric radiology. Appropriate documentation, informed by knowledge of coding, billing and reimbursement fundamentals, facilitates appropriate payment for clinically relevant services provided by pediatric radiologists.

Indexed as

Clinical CodingRadiologistsCurrent Procedural TerminologyDiagnostic ImagingDocumentationForms and Records ControlHumansInsurance Claim ReportingInsurance, Health, ReimbursementInternational Classification of DiseasesPediatricsReimbursement MechanismsUnited StatesBillingCodingCurrent Procedural TerminologyHealth insurancePediatric radiologyReimbursement

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.