BILLING AND PAYMENT ON MEDICARE INSTITUTIONAL CLAIMS

Services Furnished in Hospitals to Inpatients Imaging services provided under arrangement are billed under Part A to Medicare Fiscal Intermediaries (FIs) and A/B MACs, using revenue codes. Payment for physician’s imaging services to the hospital, for example,...

Medicare covereage for thyroid cance and ammonia N13 Procedure code

Coverage of PET Scans for PET Scan for Thyroid Cancer For services furnished on or after October 1, 2003, Medicare covers the use of FDG PET for thyroid cancer only for restaging of recurrent or residual thyroid cancers of follicular cell origin that have previously...

Billing Part B Radiology Services and Other Diagnostic Procedures

Acceptable HCPCS codes for radiology and other diagnostic services are taken primarily from the Procedure-4 portion of HCPCS. Payment is the lower of the charge or the Medicare physician fee schedule amount. Deductible and coinsurance apply, and coinsurance is based...