tci Part B Insider - 2013 Issue 6

Reader Question: This MAC Won't Allow NP to Bill X-Ray Technical Component

Question: We submitted a claim to Medicare for an x-ray’s global fee under our nurse practitioner’s provider number. Our MAC responded with an EOB that said as of Jan. 1, 2013, our nurse practitioners can only bill for the professional component (with modifier 26 appended). Do we write off the technical component of these x-rays?New York Subscriber Answer: Unfortunately, the news you received from your MAC is accurate for your region, but other Medicare contractors may still allow NPs to bill the global fee for x-rays. Earlier this year, National Government Services issued an announcement saying...

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