[Fwd: radiology reading]

[Guest guest]

---

radiology reading

Date:

Fri, 02 Mar 2007 12:16:46 -0500

From:

Sioson

Organization:

New York Presbyterian Hospital

To:

TxFinancialCoordinators

<TxFinancialCoordinators >

Hi everyone,

Just curious how the individual programs handle the cost of outside

films to be re-read by your hospital's radiologist for pre patients?

If the radiologist use a cpt code not payable by Medicare (76140). How

would you handle in paying this charge? Would you pay the billed charge

or would try to negotiate to lower your cost?

Bill, if you can comment on this, I would appreciate it.

Thanks-

--------------------

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[Guest guest]

The donor had an abnormal mammo and was sent to the breast specialist

for clearance. It's is the breast specialist policy to have the films

re-read by a local Radiologist.

This should be part of the eval, correct? So, if the reading of the

outside films are not payable by Medicare, can't we negoitiate on a fee

and still charge on the cost report?

Vaughan wrote:

Hi ,

First, why is it

necessary for the film to

be re-read. If it is really “medically necessary” then we believe

that the center should pay no more than Medicare for the service

actually

provided. NONE of the patient data should be going to the second

Radiologist.

Hope this helps,

Thanks,

Bill

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Sioson

Sent: Friday, March

02, 2007 1:25

PM

To:

TxFinancialCoordinators

Subject:

[Fwd: radiology reading]

---

radiology reading

Date:

Fri, 02 Mar 2007 12:16:46 -0500

From:

Sioson <CAP7002nyp (DOT) org>

Organization:

New York Presbyterian

Hospital

To:

TxFinancialCoordinators

<TxFinancialCoordinators >

Hi everyone,

Just curious how the individual programs handle the cost of outside

films to be re-read by your hospital's radiologist for pre patients?

If the radiologist use a cpt code not payable by Medicare (76140). How

would you handle in paying this charge? Would you pay the billed charge

This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you.

--------------------

This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you.

Attachment: vcard [not shown]

[Guest guest]

HI ,

Based on what you have described, the

professional fee can be paid by the hospital at the Medicare Rate. Most of the

time, when Medicare says something is not covered it still has a fee set.

Check that first and then negotiate the fee. Also, ask why the professional

fee code was one that was not payable by Medicare. I have a feeling that it

was coded that way because it was a re-read.

Hope this helps,

Thanks,

Bill

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Sioson

Sent: Friday, March 02, 2007 4:36

PM

To:

TxFinancialCoordinators

Subject: Re:

[Fwd: radiology reading]

The donor

had an abnormal mammo and was sent to the breast specialist for

clearance. It's is the breast specialist policy to have the films re-read

by a local Radiologist.

This should be part of the eval, correct? So, if the reading of the

outside films are not payable by Medicare, can't we negoitiate on a fee and

still charge on the cost report?

Vaughan wrote:

Hi ,

First, why is it necessary for the film to be re-read. If it

is really “medically necessary” then we believe that the center

should pay no more than Medicare for the service actually provided. NONE

of the patient data should be going to the second Radiologist.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Sioson

Sent: Friday, March 02, 2007 1:25

PM

To: TxFinancialCoordinators

Subject:

[Fwd: radiology reading]

---

radiology reading

Date:

Fri, 02 Mar 2007

12:16:46 -0500

From:

Sioson

<CAP7002nyp (DOT) org>

Organization:

New York Presbyterian Hospital

To:

TxFinancialCoordinators

<TxFinancialCoordinators >

Hi everyone, Just curious how the individual programs handle the cost of outside films to be re-read by your hospital's radiologist for pre patients? If the radiologist use a cpt code not payable by Medicare (76140). How would you handle in paying this charge? Would you pay the billed charge This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you.

-------------------- This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you.