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AGG AGG

Physicians and Diagnostic Testing in Medicare:
So Where Are We Now?

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Tuesday, March 11, 2008
Our first audioconference of 2008

With the delay in the anti-markup rules, there is considerable confusion over what, precisely, Medicare permits now with respect to physicians billing for diagnostic testing; and then the Stark regulations confuse the issue further. This session will unravel the Gordian knot of the distinctions between diagnostic testing rules generally, and the complications created by Stark.

This focused, crisp, in-depth program will provide 45 minutes of answers to the following questions grouped around three aspects of diagnostic testing: (1) what are the Medicare rules generally; (2) what is different where Stark services are involved; (3) special problems of CTA, and physicians and IDTFs. Fifteen minutes for Q & A will be provided.

NOTE: This session will not address any issues regarding clinical laboratory tests including anatomic pathology.

  • Who can bill and order diagnostic testing? The differences between what physicians and non-physicians can do
  • Whose number goes on the claim form?
  • What level of supervision applies?
  • What is a purchased technical component?
  • Who can buy a professional component?
  • What do the anti-markup rules mean today?
  • When it’s DHS under Stark, what then?
  • Where must the services be provided?
  • What does it mean that diagnostic testing cannot be incident to?
  • Will block leases still work?
  • What about teleradiology; can it be done safely?
  • What happens when single specialty groups start to provide diagnostic services they didn’t before?
  • And what about the CTA food fights? Who can bill for what?
  • Can physicians offer mobile services?
  • Can physician groups be IDTFs? Does it matter?

For questions please contact us at : telecon@gosfield.com


 

Alice G. Gosfield and Associates, P.C.
2309 Delancey Pl., Philadelphia, PA 19103
(215) 735-2384
Fax (215) 735-4778
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