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Billing & Accreditation

CurveBeam is committed to supporting its customers in all aspects of integrating our cutting edge technology into their practice.

Dr-Jozef-Zoldos

I’m a hand surgeon. I try to have a busy clinical practice. CurveBeam really held our hands throughout the process. We assigned one of our MAs to manage the set-up and between CurveBeam and the MA, they were able to get it up and running with very little physician input. All of the documentation, the policy and procedure manuals, the company helped us with.

– Dr. Josef Zoldos, MD, DDS

In general, healthcare companies do reimburse specialists for cone beam CT scans taken at the point-of-care. Prior authorization requirements vary by payer.

The most common CPT codes used are:

  • 73700 – CT lower extremity w/o contrast;
  • 73200 – CT upper extremity w/o contrast.

Other CPT codes that may be applicable are:

  • 73701 – CT lower extremity w/ contrast;
  • 73201 – CT lower extremity w/ contrast;
  • 76376 – 3D render with interpretation post-processing.

Accreditation Basics

Section 135(a) of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) amended section 1834(e) of the Social Security Act to require the Secretary to designate organizations to accredit suppliers, including but not limited to physicians, non- physician practitioners and Independent Diagnostic Testing Facilities, that furnish the technical component (TC) of advanced diagnostic imaging (ADI) services.

MIPPA requires ADI suppliers be accredited beginning on January 1, 2012 and thereafter to be entitled to receive reimbursement of Medicare claims for furnishing the TC of ADI imaging services to Medicare beneficiaries. MIPPA specifically defines advanced diagnostic imaging procedures as including diagnostic magnetic resonance imaging (MRI), computed tomography (CT), and nuclear medicine imaging such as positron emission tomography (PET).

Third party insurers or companies may have adopted CMS’ reimbursement directives. Applicant facilities are encouraged to contact the insurance carriers in their area for the most accurate and current information to ensure compliance with reimbursement requirements at all times.

For more information on the CMS accreditation requirements, please visit the CMS website and the CMS Advanced Diagnostic Imaging (ADI) Accreditation Policy.

CurveBeam Support

When you invest in CurveBeam technology, you also invest in our support team, who begin working closely with you prior to installation to ensure a successful integration of advanced diagnostic imaging into your facility.

CurveBeam can advise on:

  • State-specific siting requirements
  • State-specific CT operator requirements

As well, CurveBeam will work with stakeholders across your organization to:

  • Provide guidance throughout the entire accreditation process to ensure timely and accurate submission.
  • Provide guidance on working with a teleradiology vendor or meeting accreditation requirements to be able to bill Medicare for interpretation directly.
  • Provide clinical training for providers on indications for cone beam CT imaging.
  • Provide guidance to your billing staff on adding CT imaging to payer contracts.
  • Work with your providers, medical staff and billing staff to help set up workflows to ensure prior authorizations for CT imaging are submitted in a timely manner and with proper documentation, therefore increasing the likelihood of approval.
  • Provide guidance on image backup and archiving.

CurveBeam’s marketing team can help you spread the word to patients and referrers about your investment in state-of-the-art imaging technology. We can:

  • Author custom press releases and assist in press release distribution
  • Design custom assets for your website and social media channels
  • Provide waiting room materials to educate your patients.
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