DecisionHealth, DecisionHealth - 2006 Issue 5 (May)
Follow this guidance to get paid for PET scans under new registry
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Article Overview
This article summarizes billing and reimbursement guidance for PET claims submitted under a new national registry. It is aimed at physician offices, coders, and billing staff who need to understand how Medicare-related payment policies, carrier handling, and registry reporting requirements are being addressed. The piece also notes a CMS clarification affecting claim reporting and points readers to registry resources and timing guidance.
Why This Topic Matters
PET claims can be affected by national registry participation, carrier-specific payment rules, and CMS reporting updates. Understanding the article helps billing teams monitor how to submit claims correctly and avoid avoidable payment delays while registry requirements are in effect.
What You Will Learn
- How PET claims are being handled under a new national registry
- Which parts of PET reimbursement are tied to Medicare versus individual carriers
- What billing staff should know about registry-related claim reporting
- Where to look for registry-related claim resources and sample forms
Who Should Read This
- Physician offices
- Medical coders
- Billing staff
- Reimbursement specialists
- Radiology and nuclear medicine practices
Codes Discussed
Modifiers Discussed
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