The timeframe to submit data for the current re-evaluation of Portable X-Ray Transportation reimbursement concluded on March 31, 2020. Novitas Solutions is currently analyzing the cost data which was submitted by our Portable X-ray Suppliers. The current fees will not change until the analysis is complete and it has been determined that a new fee is necessary.
As a Medicare Administrative Contractor (MAC) - priced service, the MAC must determine payment for portable X-ray transportation service that is associated with the cost of providing the service. Factors include the cost of the vehicle, vehicle modifications, gasoline and the staff time involved in only transportation for the portable X-ray service. Please refer to CMS Internet-Only Manual (IOM) 100-04, Medicare Claims Processing Manual, Chapter 13, Section 90, for instructions regarding these services. Per the IOM, a re-evaluation of this service should be performed every 5 years.
If you have questions regarding this process please contact MedicalAffairs@novitas-solutions.com.
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