tci Medicare Compliance & Reimbursement - 2004 Issue 31

Surgery: Stereotactic Radiosurgery Coverage Still Tricky

Doctors are trapped by Medicare reimbursement.Physicians providing stereotactic radiosurgery have run smack into a Medicare restriction that prevents them from billing for these procedures in the freestanding settings. Until recently, Medicare's ban on SRS in a freestanding surgery center or radiation oncology center didn't bother physicians, because most patients receiving stereotactic procedures had brain tumors and were non-Medicare patients, according to Jim Hugh, vice president of American Medical Accounting & Consulting in Atlanta.  But recently, SRS has become more common for liver, spleen, brain stem and spine patients, and these are all Medicare patients. Medicare won't...

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