Practice Management

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  • 1.  Denied PET Scans

    Posted 11-26-2019 15:18
    Hello~
    Can you please tell me who in your practices calls the patient and tells them that a scan will be denied and give them the options of paying up front and how much that cost will be?

    We have had many PET SCANs bump up against this because of Medical Policy's and I am having a difficult time getting our staff to call the patients and tell them this. The main reason is when they have done this in the past the patients are very angry, scared and upset and say things to the staff such as, "Okay, you just want me to die", "you are very cold and I'll just go and die"  .   These scenarios have just recently been happening as it gets harder and harder to get the PET SCANs paid.

    Just curious as to how others are handling this.

    Marybeth

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  • 2.  RE: Denied PET Scans

    Posted 11-26-2019 18:33
    Marybeth
    We call the referring physician and let them know that the scan was denied.  They are more equipped to be able to give the patient other options.

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    Shanon Mayes
    COO
    Desert Medical Imaging, LLC
    Indian Wells CA
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    Original Message


  • 3.  RE: Denied PET Scans

    Posted 11-27-2019 10:38

    Our PET Prior Auth specialist outreaches to the providers office and the patient (depending on the case – some ref docs want to have that discussion with their patients).

     

    We also make sure the PET manager is aware of the situation in that they work closely with their referring physician base and should be aware of payor coverage/diagnosis issues on PET denials.

     

    Dennis J Chaltraw │ Director Revenue Cycle Management │ Oregon Imaging Centers / Radiology Associates, PC (RAPC) │ 1200 Hilyard Street, Suite 330, Eugene, OR  97401│ (w) 541.302.7771│ (c) 541.999.1848 | fax 458-215-4079│www.oregonimaging.com

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    Original Message


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