Corinne Posted Sun 10th of February, 2013 17:16:47 PM
I was told at the NY Convention, that for 2013, a Podiatrist cannot bill for dopplers, even though we take ABI's and have a print out and follow all the guidelines
SuperCoder Answered Tue 12th of February, 2013 13:29:55 PM
Let us check this for you. Please be patient.
SuperCoder Answered Tue 12th of February, 2013 21:10:44 PM
Some HMO's and third party payers will only reimburse credentialed vascular laboratories or vascular surgeons for non-invasive arterial testing whereas others require pre-authorization.
The website of most Medicare carriers and other third-party payers can provide your office with an exhaustive amount of information concerning coverage, including a list of diagnosis codes which are eligible for reimbursement. Contacting insurers, whose policies are unfamiliar to you, should be done prior to performance of any of these procedures.
Corinne Posted Tue 19th of March, 2013 17:40:09 PM
CMS stated that there was a "glitch in their system" and that these denials will now be paid for dopplers as long as there is a doppler with a print out, ABI calculation and it it done by the Podiatrist themselves.
SuperCoder Answered Wed 20th of March, 2013 14:31:53 PM
Thanks for sharing the info.