Practice Management

Hello everyone. Posted this on the coding board and there were no takers re this technical component claims question. Hopefully someone can weigh in. 

If billing a technical component only XR or MRI claim in an office setting what/who is identified box 24J (rendering provider) and also who / what name should be populate in box 31 (signature)?

Would this change if split billing PC / TC on the same claim? If so how?

Thanks !

Rich Fleury

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Richard Fleury BBA
Executive Director
Hospital For Special Surgery/Department of Radiology and Imaging
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If the TC supplier and the interpreting physician's services were performed in the same Medicare payment locality, the service can be billed globally and the NPI of the interpreting physician can be used in box 24J regardless of which physician supervised the test. That physician's name can be used in Box 31.

It the TC and PC is billed separately, some MACs have an expectaton that the physician who supervised the test be indentified with that MD's NPI in Box 24J. There is no universal guidance on this point from CMS In such circumstance, but recommend identifiying the superviing physicina in Box 31 for the TC-only claim. The interpretting MD should be identified in boxes 24J and 31 for the PC-only claim.


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Thomas Greeson JD, FRBMA
Partner
Reed Smith LLP
Mc Lean VA
(703) 641-4242
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Original Message:
Sent: 10-24-2019 13:56
From: Richard Fleury
Subject: Box 31 and 24J on TC Claims

Hello everyone. Posted this on the coding board and there were no takers re this technical component claims question. Hopefully someone can weigh in.

If billing a technical component only XR or MRI claim in an office setting what/who is identified box 24J (rendering provider) and also who / what name should be populate in box 31 (signature)?

Would this change if split billing PC / TC on the same claim? If so how?

Thanks !

Rich Fleury

------------------------------
Richard Fleury BBA
Executive Director
Hospital For Special Surgery/Department of Radiology and Imaging
------------------------------

Good afternoon Thomas,

With Teleradiology more popular than ever, many practices are entering into split billing.  Wanted to see if the above you have found to still be correct.  For example: If MRI was performed at Location A, and interpreted in Location B- when sending off the TC portion- what should be in Rendering provider ID- Box 24J?  You state Supervising physician, however what would be defined as Supervising, since the practice NPI will deny.  Thanks in advance.

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Rachel Papka
CHIO
Steinberg Diagnostic Medical Imaging
Las Vegas NV
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Original Message:
Sent: 10-24-2019 14:28
From: Thomas Greeson
Subject: Box 31 and 24J on TC Claims

If the TC supplier and the interpreting physician's services were performed in the same Medicare payment locality, the service can be billed globally and the NPI of the interpreting physician can be used in box 24J regardless of which physician supervised the test. That physician's name can be used in Box 31.

It the TC and PC is billed separately, some MACs have an expectaton that the physician who supervised the test be indentified with that MD's NPI in Box 24J. There is no universal guidance on this point from CMS In such circumstance, but recommend identifiying the superviing physicina in Box 31 for the TC-only claim. The interpretting MD should be identified in boxes 24J and 31 for the PC-only claim.


------------------------------
Thomas Greeson JD, FRBMA
Partner
Reed Smith LLP
Mc Lean VA
(703) 641-4242

Original Message:
Sent: 10-24-2019 13:56
From: Richard Fleury
Subject: Box 31 and 24J on TC Claims

Hello everyone. Posted this on the coding board and there were no takers re this technical component claims question. Hopefully someone can weigh in.

If billing a technical component only XR or MRI claim in an office setting what/who is identified box 24J (rendering provider) and also who / what name should be populate in box 31 (signature)?

Would this change if split billing PC / TC on the same claim? If so how?

Thanks !

Rich Fleury

------------------------------
Richard Fleury BBA
Executive Director
Hospital For Special Surgery/Department of Radiology and Imaging
------------------------------