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Billing Question
 Moderated by: ctisus
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 Posted: Mon Jun 11th, 2012 04:02 pm
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FMLHCT
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Dr. Fishman,

Could you please share what your institution is charging for exams that are requested to have both without and with contrast, when the noncontrast series is actually a virtual noncontrast series dirived from the enhanced scan?  We have been doing this with our Discovery CT 750HD when dual energy (GSI) mode is used.

Is it proper to bill W & W/OUT on professional side since there are two series to dictate?

Also, is it proper to bill W & W/OUT on the technical side if only one scan was performed?

Thanks!

Bret



 Posted: Fri Jun 15th, 2012 10:13 am
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ctisus
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good question
it seems that doing a virtual scan is similar but let me lok a bit deeper into the issue



 Posted: Thu Jun 21st, 2012 01:49 am
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FMLHCT
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Pretty hard one to answer.... I can't even get a proper answer on my side either. That is why I / We are requesting your help. Medicare fraud is a nasty thing that I don't think anybody wants to get into, but I seriously don't think that they know the capabilities of the most modern CT systems either.

Bret



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