HCPro.com: Radiology Administrator's Compliance and Reimbursement Insider

Each month in the Radiology Administrator's Compliance & Reimbursement Insider, you get strategies and techniques used by leading hospitals, medical groups, and imaging centers to comply with Medicare, Medicaid, and other regulatory requirements. Now with free eTools!

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December 2008 (Volume 5, Issue 12)	view entire issue

Tips to obtain payment, despite plan denials
Sometimes, a plan will mistakenly verify coverageor preauthorize a service, and later refuse to pay forthe procedure.

CMS issues test order signature clarification
CMS recently released an update to the Medicare Benefit Policy Manual, clarifying physician signature requirements for clinical diagnostic tests. Specifically, the update (Change Request 6100, Transmittal 94) stated that physician signatures are not required on orders for diagnostic tests paid based on the Clinical Laboratory Fee Schedule, the Medicare Physician Fee Schedule, or for physician pathology services. CMS accidently left the stipulation out of the manual when it was originally published. Before CMS issued the August revision, Medicare contractors were routinely rejecting claims that lacked a physician signature.

Other recently-published articles from Radiology Administrator's Compliance and Reimbursement Insider:

Tips to obtain payment, despite plan denials

CMS issues test order signature clarification

Address test order protocol in hospital setting

ICD-10 execution date proposed: October 1, 2011

2009 MPFS offers imaging implications

MIPPA mandates imaging accreditation for all providers

Technologists play a major role in the revenue cycle

Common elements found in CIAs

Self-disclosure protocol clarified

Eight tips to improve MRI throughput

IDTFs get Claims Processing Manual chapter of their own

Medicare preserves local coverage determination for CCTA

Settlement reveals lessons for radiologists

Don’t let chart errors lead to further medical mistakes

Target safety issues to ensure older workers’ well-being

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