tci Part B Insider - 2007 Issue 36

The Treating Physicians Is In The Driver's Seat For Diagnostic Tests

Heads up: Medicare will only pay for diagnostic tests when the -treating physician- or -treating practitioner- orders them, according to newly issued Transmittal 79 (C.R. 5743.) The treating physician or practitioner is the professional who treats the patient for a specific problem and uses the test results in the management of that problem, the transmittal clarifies. The physician can order the tests by mail, fax, phone or email. A standing order isn't enough to justify billing for clinical tests under Medicare part B, the transmittal adds. Watch for: Sometimes the -interpreting physician,- such as a radiologist...

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