Dodge Double-Billing Interp Claim Mishaps With This Advice
Published on Fri Feb 13, 2009
You may not always be able to report CPT code, but discover this big benefit. When your neurosurgeon does the interpretation for a magnetic resonance imaging (MRI), computed tomography (CT) scan, or other diagnostic test, you may run into hospital policy specifying only a facility radiologist can perform the interpretation. But it's not all bad news. When the neurosurgeon cannot bill separately for the interpretation, you can still consider the test as a factor in medical decision making when assigning an E/M level. Avoid This Double-Billing Danger Zone Before billing for any diagnostic test interpretations in an inpatient setting, be sure that another physician hasn't already laid claim to the service, says Beth Thomsen,billing coordinator for the University of Toledo Physicians, LLC in Ohio. Scenario: The patient has suffered a blow to the head and displays symptoms of dizziness, sleepiness, slurred speech, and confusion. To check for internal injuries and [...]