We are receiving more frequent requests from referring physicians for 2nd opinions or Overreads on CT and MRI exams which were performed elsewhere. Because these requests are increasing, we are discussing billing options and would value any input.
- Do you bill insurance for these? If so, is the date of service billed the original exam date or the date of your interpretation. Since many payers require pre-authorization for CT/MRIs, I assume the denial rate would be high.
- Do you bill the patient a flat fee and not file insurance?
- Is there an E&M code which can be billed, even though we are not face to face with the patient?
Other suggestions?
Judy Fisher | Coding and Compliance Manager | Radiology Consultants of Iowa, PLC | 1956 First Ave NE, Cedar Rapids, IA 52402 | tel. 319.832.1742 ext 6206 | jfisher@rciowa.com
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