Advanced Search

Radiology Coding Alert

Reader Question:

Don't Discriminate Against Medicare No-Shows

Published on Thu Oct 04, 2007

Question: Is there a code to report a missed appointment to Medicare? Delaware Subscriber Answer: In short, no. You should not report missed appointments to Medicare. Medicare says you may charge the patient directly, but you may not submit a missed appointment charge on your Medicare claim. Also, you may not charge only Medicare patients for missed appointments. You should charge Medicare and non-Medicare patients the same amount for the lost business opportunity. Read more: MLN Matters MM5613 covers the topic and is available at www.cms.hhs.gov/MLNMattersArticles/downloads/MM5613.pdf.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Radiology Coding Alert

View All