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Radiology Coding Alert

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PET Coverage, Ordering/Referring Edits, and AAA Screening Land in the CMS Spotlight

Published on Mon Apr 08, 2013

Denials will start May 1 for claims that fail Medicare’s ordering/referring provider edits. When reporting radiology services, be sure to take these three recent Medicare announcements into account. 1. Check Both National and Local PET RP Coverage Medicare has decided to give local MACs the power to decide whether to cover PET using radiopharmaceuticals (RPs) that aren’t specifically covered by [...]
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