tci Medicare Compliance & Reimbursement - 2006 Issue 42

RADIATION THERAPY ~ Think You Can't Bill For Radiation Therapy Twice A Day? Think Again

Double your reimbursement by noting when radiation therapy is twice daily. The Centers for Medicare & Medicaid Services (CMS) has said you can bill for twice-daily radiation therapy as long as the treatments happened in "different sessions." But you have to be careful to follow the rules and avoid getting into trouble by billing for different sessions that were really just parts of the same session.Blue Cross Blue Shield of Florida defines "hyperfractionation" as any technique of radiation treatment that delivers more than treatment session per day, notes Cindy Parman with Coding Strategies in Atlanta. Important: To...

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