The Ortho office that I bill for has received conflicting information about the Medicare requirements for documenting their xray services. They own the equipment, do their own interpretation and write their report which is typically a paragraph within the office visit E/M notes.

We bill our Medicare through NHIC (Vermont). My understanding is that there is another Medicare through Trailblazer which is telling their providers that a separate xray report is required...a paragraph within the E/M documentation is not sufficient.

Has anyone heard anything about this? What are your Medicare carriers saying?