Commentary: Medicare May Pay for Doctors' Mark-Ups of Diagnostic Tests

Summary

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Physicians often recommend certain diagnostic tests for their patients. Sometimes the "technical" components of these tests are performed with someone else's equipment, including mobile units, and with someone else's technologists.

Sometimes the "professional" components of these tests are interpreted by someone other than the physician ordering the test. In these situations, the question arises whether the ordering physician should re-bill these technical and professional services at the "wholesale" price that the ordering physician is paying for these services, or whether the ordering physician may mark up that price.

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Extract

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Commentary: Medicare May Pay for Doctors' Mark-Ups of Diagnostic Tests

Physicians ordering and re-billing diagnostic tests in late 2007 and early 2008 for Medicare patients were caught in a quagmire, because the Centers for Medicare and Medicaid (CMS) issued new "final" mark-up rules, postponed those rules and distributed...

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