Practice Management

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  • 1.  Billing at site of exam or location of read

    Posted 01-21-2020 16:02
    Good afternoon,
      A question I hope you may be able to clarify...which location should prof fee charge be generated..at the site of the exam or the site of the interpretation if read remotely? Also can anyone clarify reading NY Medicare and Medicaid studies if our Rads are out of state? A couple of questions have come up that are making us revisit.
    Thanks very much,
    Mark

    ------------------------------
    Mark Leggett
    Practice Administrator
    Millennium Medical Imaging
    188 Church St.
    Saratoga Springs, NY 12866
    mark.leggett@mmipc.com
    518-275-7126
    ------------------------------


  • 2.  RE: Billing at site of exam or location of read

    Posted 01-21-2020 16:19
    For Medicare professional component claims, you would always show the address where the radiologist is physically sitting in Box 32.  Claim should be filed to the MAC that covers that location, and payment will be based on the rates applicable in that locality.  The Place of Service code in box 24B should match the patient's status/location (inpatient, outpatient, office, ED, ect.)

    Can't answer with respect to Medicaid.

    ------------------------------
    David Smith FACMPE
    Executive Director
    United Imaging Consultants
    Mission KS
    (785) 393-8387
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    Original Message


  • 3.  RE: Billing at site of exam or location of read

    Posted 01-21-2020 16:21

    Hi Mark,

     

    There are several posts on the forum regarding the Medicare rule that requires you bill the PC to the MAC for the location of the final interpretation.  This is the place the Radiologist is sitting when he read the exam (or standing as one IT guy once asked us).  This rule only applies to Medicare.

     

    I am not familiar with New York rules, but since Medicaid is state program you should be billing those locally.

     

    Cindy Pittmon

    Acclaim Radiology Management

     




    Original Message


  • 4.  RE: Billing at site of exam or location of read

    Posted 01-22-2020 09:43

    Thank you Cindy...

     



    Mark Leggett, Practice Administrator
     Millennium Medical Imaging, PC
    Cell 518.275.7126 Fax 518.734.0134 | www.mmipc.com
    188 Church Street, Saratoga Springs NY 12866

     

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    Original Message


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