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RE: In-patient Myocardial Perfusion Studies
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Jo-@bigvalleycommercial.com
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Jan 21, 2009 09:19 PST
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Thank you Stacie. My radiologists are finally getting involved and to
their knowledge there is no special arrangement with the cardiologist.
You are correct, the cardiologist is the ordering physician. My thought
is the cardiologist has a new coder and should be billing 93015.
Actually that procedure pays more than the 78465 so he is losing money.
Finally I feel like we are making headway. One of my radiologist is
working with the cardiologist later in the week and they will discuss
this issue.
Thanks for your input. Love the website and I'm learning a lot.
Joni
-----Original Message-----
From: Stacie L. Buck [mailto:sbu-@radrx.com]
Sent: Wednesday, January 21, 2009 5:34 AM
To: SERAD-@topica.com
Subject: RE: [SERADlist] In-patient Myocardial Perfusion Studies
Sounds like the cardiologist is billing for the same exam. You will
need to
find out why they are billing for the same exam as the radiologist.
I am assuming that you have a report with your radiologists
interpretation,
correct? Is the cardiologist the ordering physician on them??
Stacie L. Buck, RHIA, CCS-P, LHRM, RCC, CIC
President/Senior Consultant
RadRx "Your Prescription for Accurate Coding & Reimbursement"
Phone (772) 287-8849
EFax (772) 408-4083
Sign up for our FREE newsletter and discussion forum at: www.radrx.com
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"To accomplish great things, we must not only act, but also dream; not
only
plan, but also believe." - Anatole France
-----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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