tci Medicare Compliance & Reimbursement - 2006 Issue 42

INDUSTRY NOTES ~ Look Out For Dual Radiology Billing

Plus: Suppliers must go beyond CMN, court says. The Part B carriers are putting in place edits designed to make sure doctors don't bill the technical component (TC) of an inpatient radiology service that a hospital is already billing for separately, according to Transmittal 1098 from the Centers for Medicare & Medicaid Services (CMS), dated Nov. 2. Double radiology billings are a hot-button issue since the HHS Office of Inspector General (OIG) zeroed in on them in a recent report, exports note. Current Medicare policy allows either the hospital or the supplier providing the TC of radiology services...

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