tci Medicare Compliance & Reimbursement - 2008 Issue 12

Industry Notes: Apply For Accreditation To Collect For Imaging

Plus: California hospitals overpaid by $3.5 million If you bill United Healthcare (UHC) on behalf of your Medicare patients, the rules just got tougher. Starting in the third quarter of 2008, only accredited outpatient imaging facilities and physician offices will be able to collect reimbursement from UHC for certain CPT codes (a list of which are available on UHC's Web site at http://www.unitedhealthcareonline.com). "Currently, only approximately half of the plan's MRI, nuclear medicine, and CT providers are accredited, while nearly two-thirds of PET providers have completed the accreditation process," according to a recent statement from...

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