| After suffering a blow to the head, a patient showed | | | | all-encompassing report. If your physician reads the |
| the following symptoms - dizziness, sleepiness, slurred | | | | films/fluoros and bills for them, then you should keep |
| speech, and confusion. The doctor attending to the | | | | handy a separate note with a separate signature at |
| patient ordered a CT scan to check for internal injuries | | | | the end of the op. |
| and aneurysm. After finding out that there was no | | | | You probably could not report the CT scan |
| evidence of serious injury, the doctor admitted the | | | | interpretation for your doctor in the above scenario |
| patient for observation. | | | | because, very likely, the hospital radiologist would |
| Under such circumstances, can the physician biller bill | | | | prepare the initial report for the CT scan. Even when |
| for the interpretation? | | | | your doctor provides the immediate interpretation used |
| The answer is no. The physician biller cannot bill for the | | | | for treatment and the radiologist provides an |
| interpretation. A facility radiologist or other physician | | | | "over-read" (secondary quality assurance review), |
| may give interpretations for all ordered tests as a | | | | hospital rules may give the charge to the radiologist. |
| matter of policy in a hospital or other inpatient facility. | | | | Conclusion: So if one physician has already interpreted |
| As such, you being the admitting but not attending | | | | a test and provided a report outlining the result, no |
| ordering, physician's biller, you are not entitled to | | | | other physician can bill for the same service. This |
| reporting the interpretation for 70460. | | | | would fall under the category of radiology procedure |
| You need to ensure that only one person reads the | | | | double-billing. |
| diagnostic test and the person billing it should have an | | | | |