Technical component/Professional Component

We are an urgent care walk-in clinic in Alabama. We do in-house x-rays and some x-rays we send out to a radiologist to have read. She is set up to read these in her home. She invoices us monthly for her services however she does not file for professional component (PC). Should we be filing our charges for x-rays with the TC modifier and if so, can we file for the PC as well for the radiologist since she does not do this?

Get a lawyer

This is tricky stuff! The relationship between you and the radiologist must be clearly defined to allow you to bill for her services. This is a Medicare Stark issue and cannot be answered here. We do not have the resources to visit you in prison if we give the wrong answer.

tricky

http://www.physiciansnews.com/law/908burke.html

technical componet/professional component

We are not billing for the radiologist professional component. She does not bill that either. She bills our office for her services monthly. Therefore can we bill for a global fee with no modifier?

Is this Medicare?

If not, do what you want. if you see Medicare patients, get a lawyer- really. I am serious. Get a lawyer. Nancy's link shows you how complex this is and if you read that and did not get your answer, then get a lawyer. No one here will tell you to go ahead. Really- get a lawyer!