RhondaW
New
Example: A Medicare patient comes in after a fall at home with injury. The ER doctor orders a single view pelvis to determine if there is a fracture. The report is negative for fracture. The patient is a full admission and complains of continued hip/pelvic pain so the attending orders another single view pelvis on the same day. Our claim scrubber will not allow us to bill the second pelvic x-ray due to a MUE stating only one should be done per day. Is it appropriate to bill the second pelvic x-ray, get the denial and then adjust it? Or should we not bill the second x-ray to avoid a denial? 