tci Part B Insider - 2004 Issue 40

Physician Notes: Purchasing Tests Outside Your Carrier's Region Won't Be A Problem Soon

But be careful to avoid excluded providers You'll be able to bill your local carrier for purchased diagnostic tests or interpretations, even if they were performed in another carrier's area, starting next April. Since last April, the Centers for Medicare & Medicaid Services has required suppliers to bill for diagnostic tests or their interpretation based on the location where the tests were performed. This requirement has caused problems for some providers, because of enrollment restrictions, when they've been unable to receive reimbursement for tests or interpretations they purchased from a provider located outside their local carrier's jurisdiction. But in...

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