In Coding
Jun 7th, 2018
New HCPCS Level II modifier reports advanced diagnostic imaging provided to Medicare patients. The Centers for Medicare & Medicaid Services (CMS) created a new modifier to report use of a clinical decision support mechanism (CDSM) prior to ordering an advanced diagnostic imaging service for a Medicare patient. Look to Recent CMS Guidance As detailed in ...
Aug 26th, 2016
Effective Jan. 1, 2017, Medicare administrative contractors (MACs) will reimburse physicians, providers, and clinical diagnostic laboratories considerably more for the professional component (PC) of certain diagnostic imaging procedures than in years past. When Less is More Since 2012, MACs make full payment for the PC of the highest-priced procedure, and apply a Multiple Procedure Payment ...
In Billing
Jul 15th, 2011
Attention physicians, non-physician practitioners (NPPs), and independent diagnostic testing facilities (IDTF) supplying imaging services and submitting Medicare claims for the technical component (TC) of advanced diagnostic imaging (ADI) procedures: MLN Matters SE1122 provides assistance to help you meet the accreditation requirements established in Section 135 (a) of the Medicare Improvements for...
In Coding
Feb 1st, 2010
Don’t settle for a portion of payment—get the full amount. By Meera Mohanakrishnan, CPC, CPC-H Frequently, the total service/procedure described by a single CPT® code is comprised of two distinct portions: a professional component and a technical component. The professional component of a diagnostic service/procedure is provided by the physician, and may include supervision, interpretation, ...
In Billing
Feb 1st, 2010
Come Jan. 1, 2012, a provision in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) requires all suppliers of the technical component (TC) of advanced diagnostic imaging services suppliers to be accredited by an accreditation organization designated by the Secretary of Health and Human Services (HHS). To that end, the Centers for Medicare ...