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RE: In-patient Myocardial Perfusion Studies
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Candy Fulcher
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Jan 19, 2009 09:04 PST
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Hi Joni,
If your radiologist did in fact read the test, then you can try appealling the denial with a copy of the transcript showing that your doctor did the reading. When I have done this then the insurance company has recouped their payment to the cardiologist and paid us. The cardiologist then has to prove they did the reading by producing a report.
Just a suggestion....but be sure that your radiologists did the reading!
Candy
-----Original Message-----
From: jo-@bigvalleycommercial.com [mailto:jo-@bigvalleycommercial.com]
Sent: Monday, January 19, 2009 11:58 AM
To: SERAD-@topica.com
Subject: [SERADlist] In-patient Myocardial Perfusion Studies
Happy New Year to All!
Could use some advise concerning Myocardial Perfusion Studies. We are
billing for a new practice to our billing service - a small Radiology Group
and have begun receiving denials for in-patient Myocardial Perfusion
Studies. These denials are indicating paid to another provider and upon
researching, the provider is a cardiologist. It is the same cardiologist in
each instance and before I move forward with his office I wanted to know if
there are any special guidelines or protocol that I am not aware of. I have
never had this problem with any of our other practices. I am wondering if
this is hospital "politics" although my three Radiologists don't seem to be
aware of why the cardiologist is billing. I do not have access to their
prior billing service and I wonder if they were just adjusting upon denial
of these procedures?
Is there something different about in-patient Myocardial Perfusion Studies
that I don't know? Would appreciate any help.
Thank you,
Joni Foster
Big Valley Commercial, Inc.
(209) 342-2323
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