Complete Story
10/14/2026
Coding & Compliance Update: Free Webinar, AI Use Highlight, Same Day Service Resource Round Up
Resource Round Up: Billing an Imaging Service and an E/M on the Same Day
Multiple third-party payers are more strictly enforcing documentation requirements associated with submission of radiology services. When both a radiology CPT® code and E/M service are submitted for the same patient on the same day, both an order for the imaging and a full written interpretation must be documented.
The order documentation should include the patient’s name, the study being ordered, anatomy being addressed, number and type of views, the clinical indication(s) for the imaging, and the ordering provider’s name and signature.
The interpretation documentation should include all findings, both pertinent to the chief complaint and not pertinent to the chief complaint, and what decisions were made as a result of the imaging.
Learn more about this topic from APMA:
Prior Authorization and DMEPOS: What Podiatrists Need to Know About Surgical Dressings and AFOs - Free APMA Webinar
Tuesday, November 17, 8:00 P.M. ET
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Steve Merckx, DPM
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Jeffrey Lehrman, DPM |
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Prior authorization requirements and Medicare oversight of certain DMEPOS items continue to evolve. This webinar will review current requirements for commonly used surgical dressings, including collagen, foam, and hydrogel products, as well as ankle-foot orthoses. Attendees will gain practical guidance on documentation, medical necessity, coding considerations, and strategies to minimize denials and audit risk.
Using AI to Research Insurance Company Billing, Coding, and Coverage Policies
How Artificial Intelligence Can Help Physicians Find the Information They Need to Get Claims Paid
by Michael Brody, DPM
One of the more frustrating parts of practicing medicine is dealing with insurance company billing and coding requirements. We perform a service that is medically necessary, document the care provided, submit the claim, and sometimes receive a denial because we failed to meet an insurance company's particular requirements.
The problem is that every insurance company has its own policies. A procedure covered by one company may not be covered by another. One insurance company may require a particular diagnosis code, while another may have additional medical necessity or documentation requirements. Even different plans offered by the same insurance company may have different coverage rules.
Much of this information is available on the insurance companies' websites. The challenge is finding it.
AI can help physicians and their staff research these policies, identify the requirements that apply to a particular service, and locate the actual documents published by the insurance company.
This is one of the practical ways AI can help reduce the administrative burden of running a medical practice.
New CMS WISeR Model Resources
CMS has created two new WISeR Model resources. The WISeR Exemption Program Provider Fact Sheet includes information and parameters for the gold carding program. The WISeR Term Definition Fact Sheet explains some of the terminology used in the model.
