Forums General BILLING FOR USE Reply To: BILLING FOR USE


Menna
Moderator

We assume this question is related to use of AlignRT with IMRT. SGRT/AlignRT may be reported when medically indicated for patient treatment. Documentation in the patient’s record must indicate the medical necessity of the use of the technology. Some payers will limit the use of IMRT within the payer’s policy, and this requires the providers to be aware of the policy for each patient’s plan. When plans limit the use of IMRT to right breast, IGRT is also limited. There is nothing to prevent you from providing a service without charging. Should providers have specific question about policy limitations, you are welcome to reach the reimbursement support team at VisionRT@thepinnaclehealthgroup.com.