tci Medicare Compliance & Reimbursement - 2007 Issue 30

CMS TRANSMITTALS: Avoid Billing Medicare For 78609

Also: No NPI, no electronic funds.Heads up: Medicare's Internet-Only Manual (IOM) incorrectly stated that Medicare will pay for brain PET scan code 78609. The IOM also wrongly said Medicare would cover unlisted radiopharmaceutical code A4641 as a "tracer" along with PET scan codes.New transmittal 1301 (C.R. 5665) corrects the record and makes it clear Medicare won't pay for 78609 and won't cover A4641 with PET scans. In other recent transmittals:· The new interest rate for Medicare overpayments and underpayments will be 12.625 percent, according to transmittal 129 (C.R. 5300).· You won't be allowed...

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