May 12, 2016
Computerized Axial Tomography (CT) Procedures A/B MACs (B) do not reduce or deny payment for medically necessary multiple CT scans of different areas of the body that are performed on the same day. The TC RVUs for CT procedures that specify “with contrast” include...
Apr 15, 2016
As a condition of fee schedule payment, services are required to contribute directly to the diagnosis or treatment of an individual beneficiary.5 When Medicare Administrative Contractors (MAC) receive a single claim for interpretation and report, “they must...
Apr 5, 2016
Tufts Health Plan requires providers to obtain authorization prior to requesting high-tech imaging services in an outpatient setting. Depending on the member’s product, providers must call either National Imaging Associates (NIA) or Cigna. The following services...
Mar 21, 2016
BACKGROUND The Social Security Act and Centers for Medicare & Medicaid Services (CMS) regulations govern Medicare payments for all radiology services and require that services be medically necessary, have documentation to support the claims, and be ordered by...
Jun 21, 2010
What is CT Imaging? Computed tomography (CT) imaging, also referred to as a computed axial tomography (CAT) scan, involves the use of rotating x-ray equipment, combined with a digital computer, to obtain images of the body. Using CT imaging, cross sectional images of...
