tci Part B Insider - 2012 Issue 24

Part B Coding Coach: Collect Accurate Bone Mass Measurement Reimbursement With 5 Quick Tips

Plus: Know how Medicare changed your payment calculations for these services. Bone mass measurement (BMM) has been in the spotlight lately after Medicare once again changed payment calculations for DXA bone density studies. That makes now a great time to review coverage requirements for these common tests. (Hint: Check out section 5 for more about the payment changes.) 1. Verify Order Is From a Qualified Provider For Medicare to cover BMM, the test must be ordered by a physician or qualified nonphysician provider (NPP), according to Medicare Benefit Policy Manual (MBPM), Chapter 15, Section 80.5.4 (www...

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