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Medical Billing Forum
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(Moderators:
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Radiology Billing for Medicare and Medicaid
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Topic: Radiology Billing for Medicare and Medicaid (Read 2661 times)
dolphy
Newbie
Posts: 1
Radiology Billing for Medicare and Medicaid
«
on:
October 21, 2010, 01:24:33 AM »
. For Medicare, Medicaid x-rays; our company bills the "global rate" this rate incorporates the transport, setup, the study and the radiologist read fees. My question is, for patients who are in a nursing home (skilled Nursing Facility) on a Medicare part A stay where we normally direct bill the facility for the x-ray rather than Medicare, can the radiologist read fee be billed separately to Medicare? If so is there any special agreement that needs to be in place? Special modifier? The same question goes for Medicare and Medicaid patients in a long term acute care hospital. For patients in a long term acute hospital, we bill all x-rays and services done for that hospital, directly to that hospital.
I hope someone has an answer
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oneround
Full Member
Posts: 226
Re: Radiology Billing for Medicare and Medicaid
«
Reply #1 on:
October 27, 2010, 08:52:43 PM »
Hi Michael,
Hi Michael,
The Read fee should be no different then the MD billing the “professional component” is billed separately/directly to Medicare by the provider.
Hope this helped
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Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
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Sharp HealthCare
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Re: Radiology Billing for Medicare and Medicaid
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Re: Radiology Billing for Medicare and Medicaid
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Re: Radiology Billing for Medicare and Medicaid
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Medical Billing Forum
Re: Radiology Billing for Medicare and Medicaid
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« previous
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Medical Billing Forum
»
General Category
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General Questions
(Moderators:
Alice Scott
,
Michele
) »
Radiology Billing for Medicare and Medicaid