decisionhealth Newsletters, Part B News - 2003 Issue 4 (April)
You can bill for TC payments if you own or lease the equipment
Subscribe or sign in to view the full article.
Article Overview
This article explains how Medicare treats technical component billing for diagnostic testing when equipment is owned or leased, and how split billing differs from global billing. It is aimed at coders, billers, practice managers, and clinic staff who handle diagnostic services and Medicare claims. The discussion covers the general use of modifiers and separate component codes, as well as claim documentation issues for purchased diagnostic tests and related Medicare manual guidance.
Why This Topic Matters
Understanding who may bill the technical component of a test affects claim submission, payment accuracy, and compliance for practices that own, lease, or purchase diagnostic services.
Article Sections
-
Billing the technical component when equipment is owned or leased
Explains the general relationship between equipment ownership or leasing and billing for the technical portion of diagnostic testing. It also introduces the distinction between technical, professional, and global payment structures.
-
Purchasing the technical component of services
Describes arrangements where a vendor performs diagnostic testing for a practice and the practice bills for the service. It addresses purchased test arrangements, claim documentation, and related Medicare carrier manual guidance.
What You Will Learn
- How Medicare distinguishes technical and professional components of diagnostic tests
- When ownership or leasing of equipment affects technical component billing
- How separate codes and modifiers are discussed in split billing scenarios
- What purchased diagnostic test arrangements involve at a general level
- What claim information is associated with purchased diagnostic tests
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle teams
- Cardiology and diagnostic testing practices
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com