Revenue Cycle Insider

Practice Management:

Look for Reasons for Noncoverage Before Providing Services

Question: My practice performed a trigger point injection (TPI) and used ultrasound guidance for the needle placement, but when I submitted the claim, reimbursement for the ultrasound guidance was denied. The payer said ultrasounds were not covered or reimbursable when used for guidance for TPIs. Can I bill the patient directly, now that we know this procedure wouldn’t have been [...]
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