tci Medicare Compliance & Reimbursement - 2015 Issue 7

Submit This Data If You Want Reimbursement For LDCT Screening

Make sure you get the ordering practitioner’s NPI. Now that the Centers for Medicare & Medicaid Services (CMS) has made a National Coverage Determination (NCD) to cover lung cancer screening with low dose computed tomography (LDCT), radiology imaging facilities must follow certain rules to see reimbursement. And CMS doesn’t stop with eligibility requirements — you must also perform certain data collection and submission duties. According to CMS, the data that the radiology imaging facility must collect and submit to a CMS-approved registry must (at a minimum) include the following: ...

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