BILLING NEWS

Multiple Procedure Reductions for CT scans, MRIs and Ultrasounds

Effective June 1, 2011, our policy for multiple imaging procedures will change to apply the reduction when two or more services are furnished to the same patient in a single session. This change is based on the CMS Policy change that went into effect on January 1, 2011. CMS consolidated the 11 imaging families into one family. Our current policy applies the reduction to scans performed on contiguous body areas based on the 11 imaging families. As of June 1, 2011, the reduction will be based on one imaging family.

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INDUSTRY NEWS TAGS: AETNA


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