Are there opportunities to bill for a freestanding MRI/CT center using a UB04 claim form instead of 1500 claim form? Any advantages?
Answer 1: I would recommend the provider contact its local Medicare Administrative Contractor (MAC). In order to bill a global fee, I believe a 1500 claim form is required.
This question was answered by: Caswell Samms, III, vice president and CFO, WellStar Kennestone, and a member of HFMA’s Georgia Chapter.
Answer 2: The type of facility designation makes a difference. To bill on the UB04/8371 equivalent, a bill type should be designated to identify the type of provider. There is a code for a freestanding clinic 073X. There is no bill type for a freestanding MRI/CT center specifically.
This question was answered by: Suzanne Lestina, FHFMA, CPC, director of administrative simplification policy, American Hospital Association, and a member of HFMA’s First Illinois Chapter.
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