decisionhealth Newsletters, Answer Books - 2010 Issue 5 (May)
Radiological Services / Health care reform provision requires more patient notification
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Article Overview
This article covers a health care reform-related patient notification requirement affecting in-office ancillary imaging services. It is aimed at practices and clinicians who refer patients for advanced imaging and need to understand the general compliance expectations, related documentation, and the impact of noncompliance on billing eligibility for Medicare and Medicaid.
Why This Topic Matters
Practices that order or furnish imaging services need to understand this notification requirement to avoid compliance problems and potential billing issues. The article is relevant to office workflow, patient communication, and regulatory awareness for imaging referrals.
What You Will Learn
- The general purpose of the patient notification requirement for certain imaging referrals
- Which types of practices and providers are affected at a broad level
- How the article frames compliance and documentation expectations
- Why noncompliance matters for Medicare and Medicaid billing
Who Should Read This
- Physicians and physician practices
- Radiology-related billing and coding staff
- Compliance staff
- Medical office managers
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