tci Part B Insider - 2007 Issue 27

Don't Stand For X-Ray Denials On Admission Dates

Start appealing those denied radiology technical component (TC) claims, officials from the Centers for Medicare & Medicaid Services (CMS) urged.CMS imposed an edit last April, saying that Medicare wouldn't pay for the TC of radiology services, if they happened on the same date as a patient's hospital admission or discharge.Example: A provider calling into the Aug. 14 physician Open Door Forum said patients sometimes come into the office and receive X-rays. Then the doctor decides to admit the patient to the hospital the same day. Medicare will deny the TC payment for those X-rays because they-re on...

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