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Radiology Coding Alert

Mix and Match Provider Info for These Mammo Claims

Published on Tue Feb 05, 2008

If you have an out-of-jurisdiction purchased exam, CMS has news for you.Add one more item to your denial-prevention to-do list. If you bill a mammogram as a purchased service and your practice purchases the service from another billing jurisdiction, you must include the following or the carrier will return your claim as unprocessable:• the billing provider's NPI• the name, address, and ZIP code of the performing physician/supplier.The effective date is Dec. 1Resource: You can find MLN Matters article MM6237 at www.cms.hhs.gov/MLNMattersArticles/downloads/MM6237.pdf and Transmittal 1624 updating the Medicare Claims Processing Manual at www.cms. 
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