May 3, 2011
Specific Instructions for Filing Claims Subject to Anti-Markup Limitation Providers may not submit a global billing or total component code on paper or electronic claims when one component of the service is subject to the anti-markup limitation. To determine the...
Apr 13, 2011
Multiple Procedure Reduction on the TC of Certain Diagnostic Imaging Procedures Effective January 1, 2006, a multiple procedure reduction of the TC of certain diagnostic imaging procedures applies. The reduction applies to TC-only services and the TC portion of global...
Nov 25, 2010
Cost Sharing (Copayment) Copayment amount does not apply to services provided by Independent Radiology providers. Time Limit for Filing Claims. Medicaid requires all claims for Independent Radiology providers to be filed within one year of the date of service. Refer...
Aug 2, 2010
Multiple Claims Medi-Cal reimburses for only one interpretation of an individual X-ray procedure performed on a patient. Reimbursement is allowed for only one technical component (modifier TC) and only one professional component (modifier 26) for each individual...
Jul 6, 2010
CLIA Number: Billing for Radiology Providers billing for Procedure-4 radiology codes 78110, 78111, 78120 – 78122, 78130, 78191 and 78270 – 78272 must be Clinical Laboratory Improvement Amendments (CLIA)-certified. Laboratories that...
