DecisionHealth, DecisionHealth - 2016 Issue 3 (March)

Getting Paid: Cut through murky DOS billing rules for diagnostic tests other than lab

Question: Please tell me which date of service (DOS) to use for the interpretation of a diagnostic test? Is it the date the provider read the test or the date the test was performed? The Medicare Benefit Policy Manual states the date of service is the date the expenses were incurred, but that is where we get hung up. For example, the patient received the test on Jan. 1 and the physician didn’t read it until Jan. 3. Do you go with Jan. 3 or Jan. 1? Technically, did the patient really incur anything on Jan. 3? At the end of the day, which date should be used for the physician interpretation?

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