tci Part B Insider - 2014 Issue 45

Reimbursement: Follow 5 Steps to Ensure You're Handling Specialist Payment Arrangements Correctly

Here’s your guide to splitting service fees with other physicians.  Specialists often work with other specialists to render care, but each professional usually handles his or her own coding and billing. If you’re ever in a situation that requires you to bill the service and pay part of the collected amount to another provider, experts recommend keeping several things in mind. Scenario: You work for an otolaryngologist who has an agreement for a radiologist to read CT scans performed with your in-office CT scanner. The radiologist doesn’t want to bill for the service, so your...

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