tci Part B Insider - 2009 Issue 16

READER QUESTION: Keep Medicare's Additional Test Rules Right at Your Fingertips

Know CMSs allowable circumstances when a non-hospital radiologist can perform and bill for an exam without the treating physicians order. Question: I have the 2001 CMS transmittal that explains when a radiologist may perform an exam without an order, but does CMS include this information in one of the current manuals? Answer: Youll find the information youre looking for in the Medicare Benefit Policy Manual, Chapter 15, Section 80.6 (available on the internet at www.cms.hhs.gov/Manuals/IOM/list.asp). There are only a few circumstances where a non-hospital radiologist may perform and charge for an exam without first...

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