CMS heard your protests against TC denials on hospital admission days Good news: CMS imposed an edit last April stating that Medicare wouldn't pay for radiology services' TC if they happened on the same date as a patient's hospital admission or discharge. A provider calling into the agency's Aug. 14 physician open-door forum said patients sometimes come into the office and receive x-rays. Then the doctor decides to admit the patient to the hospital the same day. Medicare will deny the TC payment for those x-rays because they're on the same day as the hospital admission. The edit causing these denials will disappear on Oct. 1, according to Transmittal 1295 (Change Request 5675, www.cms.hhs.gov/Transmittals/downloads/R1295CP.pdf). Medicare should pay for imaging services on the admission and discharge dates, as long as someone other than the hospital provides them.
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