Re: modified barium swallows

[Guest guest]

Hi Eileen,

We had the same problem with the " Blues " here in Michigan. We called our BC/BS

rep, and she manually corrected our denials. Seems like there may have been a

software glitch on their end.

Good Luck-keep fighting for what is rightfully yours!

Kim

, MPT

Director of Rehabilitation Services

North Oakland Medical Centers

461 W. Huron

Pontiac, MI 48341

Office

Pager

modified barium swallows

For those who also manage speech therapy - has anyone been receiving

denials for CPT 92611 (motion fluoroscope eval of swallow)? We had been

billing for both the radiology aspect of the exam as CPT 74230 and the

SLP portion of the exam as CPT 92611; however this month we are getting

the bills back stating that 92611 is a " service not paid separately " . I

have received no transmittals / updates etc regarding this. Has anyone

else running into this?

Eileen Casey, PT

Dir. Rehab Services

Brattleboro Memorial Hospital

Tel:

Fax:

< ecaseybmhvt (DOT) <mailto:ecasey%40bmhvt.org> org>

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[Guest guest]

Hi Eileen,

We have had the same thing happen to us here in California on

outpatient Medicare charges. Generally my SLP's like to have the

patient come to the office first for an initial visit to assess them

and prepare them for the MBSS. Then they schedule the swallow study

in Radiology, which is done by the SLP with a Rad Tech assisting. We

cannot figure out why we are getting these denials ( " Service not paid

separately " ), but we are currently doing a trial of putting the 92611

charge on the same account # as the Radiology charge to see if that

works. Maybe when Medicare sees two different account numbers it

kicks it out? If you find out any information on this, please let me

know.

Thanks and good luck,

Loren Munson, MPT

Director of Rehab

Sonora Regional Medical Center

>

> For those who also manage speech therapy - has anyone been receiving

> denials for CPT 92611 (motion fluoroscope eval of swallow)? We had

been

> billing for both the radiology aspect of the exam as CPT 74230 and

the

> SLP portion of the exam as CPT 92611; however this month we are

getting

> the bills back stating that 92611 is a " service not paid

separately " . I

> have received no transmittals / updates etc regarding this. Has

anyone

> else running into this?

>

>

>

> Eileen Casey, PT

>

> Dir. Rehab Services

>

> Brattleboro Memorial Hospital

>

> Tel:

>

> Fax:

>

>

>

>

>

>

> _______________________________________________________________

>

> The information contained in, or attached to, this e-mail, may

contain confidential information and is intended solely for the use

of the individual or entity to whom it is addressed and may be

subject to legal privilege. If you have received this e-mail in error

you should notify the sender immediately by reply e-mail, delete the

message from your system and notify your system manager. Please do

not copy it for any purpose, or disclose its contents to any other

person. The views or opinions presented in this e-mail are solely

those of the author and do not necessarily represent those of the

company. The recipient should check this e-mail and any attachments

for the presence of viruses. The company accepts no liability for any

damage caused, directly or indirectly, by any virus transmitted in

this email.

> _______________________________________________________________

>

>

>