  |
News
Aetna Publishes CT Scan, MRI and Ultrasound Payment Policy
Recent News
- Aetna Changes Stop Loss Calculations
Published: - Methodist Health System and Jennie Edmundson Hospital
Published: - Floyd Valley Hospital
Published: - City of West Des Moines
Published: - Winneshiek Medical Center
Published: - Spruced-Up Revenue Cycle Precedes Construction Plans
Published: - UNMC Student Plan
Published: - Progressive Swine Technologies
Published: - Christian Brothers Services is New Midlands Choice Payer
Published: - CIGNA Preventive Care Payment Policy Changes
Published: - CIGNA Clinical, Reimbursement and Administrative Policy Updates
Published: - CIGNA Contracts with MedSolutions
Published: - Aetna Electronic Precertification
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - New Aetna Precert Requirements Effective July 1
Published: - 5010: Don’t Assume “Someone Else” is Responsible
Published: - New Groups Effective Jan. 1, 2011
Published: - ICD-10 Update
Published: - CIGNA Address Change
Published: - V-Pay Cards
Published: - Include Patient Date of Birth on Claims
Published: - SL Modifiers
Published: - Midlands Choice EDI Contacts
Published: - Aetna Electronic Funds Transfer (EFT)
Published: - Aetna Electronic EOBs
Published: - Aetna Signature Administrators “Cheat Sheet”
Published: - Aetna Alternatives to Paper for When EDI Isn’t Practical
Published: - Aetna Corrected/Voided EDI Claims
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - CIGNA Changing Name
Published: - Delegated Payer Claims
Published: - Access to Information During the Credentialing Process
Published: - United Security Life and Health Insurance
Published: - Changing To Online Newsletter
Published: - CIGNA Online Remittance Reports Available in 2011
Published: - Supporting Documentation for CIGNA Electronic Claims
Published: - CIGNA's Use of Modifiers 59 and 25
Published: - CIGNA Code Auditing
Published: - ICD-10 Code Translator
Published: - 5010 Address Requirements
Published: - New Aetna Radiology Preauthorization Requirements
Published: - Great-West Website Has New Look, Upgraded Features
Published: - Aetna Out-of-Network Benefit
Published: - Aetna Offers Multi-Payer Transactions via NaviNet at No Charge
Published: - Changes to 2011 Aetna Precertification List
Published: - Aetna Publishes CT Scan, MRI and Ultrasound Payment Policy
Published: - Mennonite Mutual Aid Announces Name Change
Published: - Paper Claims Must be Typed
Published: - Aetna Review of Hospital Acquired Conditions
Published: - 5010 Preparation Under Way
Published: - News Archives
Aetna has published the following advisories regarding its CT scan, MRI and ultrasound payment policies:
Facilities -- revised policy and new effective date
A proposed policy about multiple procedure reduction for CT scans, MRIs or ultrasounds will not be applied on November 15, 2010, as previously announced.
Practitioners and facilities - new claims payment policy
With dates of service on or after February 1, 2011, Aetna will allow multiple CT scans, MRIs or ultrasounds on the same day at 50 percent for the subsequent scan(s). This is based on the Centers for Medicare and Medicaid Services (CMS) multiple procedure reduction policy for certain diagnostic imaging procedures.
The reduction will apply to:
- scans performed on contiguous body areas
- technical and global charges
- facility and medical claims, including independent radiology centers
The reduction will not apply to:
- professional fees billed separately
- claim lines billed with Modifier 59
If you have questions about these policies, refer to Aetna's website via Navinet or call Aetna at (888) 632-3862.
