tci Part B Insider - 2006 Issue 12

CARDIOLOGY: Don't Let Two Catheterizations On The Same Day Confound You

Hint:  You can't have a diagnostic cath twice at different facilities When one patient receives the same service at two different facilities, you may have to step carefully to obtain your rightful reimbursement.The problem: Greenwich Hospital in Greenwich, CT sometimes has to send patients to its affiliate, Yale New Haven Medical Center, for cardiology interventions, writes Carl DeRosa with Cardiovascular Services of Greenwich. That’s because Greenwich Hospital’s Certificate of Need (CON) license with the state doesn’t allow it to perform some cardiac interventions in-house, he explains. So Greenwich Hospital performs the initial catheterization on the...

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