Payment is as follows:
• Inpatient – PPS, based on the DRG
• Hospital outpatient departments – OPPS, based on the APC
• Rural health clinics/federally qualified health centers (RHCs/FQHCs) – All-inclusive rate, professional component only, based on the visit furnished to the RHC/FQHC beneficiary to receive the MRA. The technical component is outside the scope of the RHC/FQHC benefit. Therefore the provider of the technical service bills their carrier on the ANSI X12N 837 P or hardcopy Form CMS-1500 and payment is made under MPFS.
• Critical access hospital (CAH) –
oFor CAHs that elected the optional method of payment for outpatient services, the payment for technical services would be the same as the CAHs that did not elect the optional method - Reasonable cost.
o The FI pays the professional component at 115 percent of Medicare Physician Fee Schedule (MPFS).
Deductible and coinsurance apply.
Radiology billing and coding tips. Learn about radiology billing services health care CPT codes and reimbursement. How to do Radiology billing correctly. PET CT scan coding and Guidelines.
Sunday, August 29, 2010
Subscribe to:
Post Comments (Atom)
Most Read Radiology Billing Articles
-
Procedure code and Decription 20610 - Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacr...
-
PROCEDURE CODE and Description 71010 - Radiologic examination, chest; single view, frontal - Fee amount $20 - $26 71015 - Radiologic e...
-
Appropriate Procedure Codes Effective for PET Scans for Services Performed on or After January 28, 2005 All PET scan services require the...
-
RADIOLOGY PROCEDURE CODE EASY GUIDE FOR BONE DENSITY/DEXA/CAT SCAN BONE DENSITOMETRY/DEXA DEXA – hips, spine. . . . . . . . . . . . ....
-
Ultrasound Frequency Limitations Reimbursement for the following Procedure-4 radiological ultrasound procedure codes is limited to four...
-
Procedure Code and description 76536 - Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with im...
-
Procedure Code AND Description 76770 - Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; comple...
-
procedure code and description 74177 - Ct abd & pelv w/contrast - average fee payment - $320- $330 Procedure code changes In 20...
-
PROCEDURE CODE AND Decription 76881 - Ultrasound, extremity, nonvascular, real-time with image documentation; complete - Average fee a...
-
Procedure code and Description Group 1 Codes: 51785 NEEDLE ELECTROMYOGRAPHY STUDIES (EMG) OF ANAL OR URETHRAL SPHINCTER, ANY TECHNIQUE ...

No comments:
Post a Comment