Have you actually had a denial? I think the one week window does not apply since our carrier changed for NC. 


Kelly Estes, RVT, RDCS, RDMS
Manager, Vascular Laboratory
Hawthorne CV Surgeons
Charlotte, NC 28204
704-316-5100 work
704-316-9392 fax

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Kelly Redmile
Sent: Thursday, October 25, 2012 8:36 AM
To: [log in to unmask]
Subject: Medicare Vein Mappings

I do quite a few vein mappings, both for AVF and BPG. We are careful to 
schedule these within a week of the surgery date.  Recently we have had a 
couple issues.  One the patient did not show up for surgery and decided to 
postpone.  Two the patient ate the morning of scheduled surgery and had to 
be rescheduled.  Both of these instances made the surgery date be outside of 
the one week window.  Does that automoatically mean we won't get paid for 
the mapping?  Are allowances made for instances when the surgery is 
rescheduled?  We are planning to start making patients sign an ABN.  I think 
that a lot of patients may be confused by this and may even see it as our way 
of trying to get their money.  What are others doing to circumvent this issue?  

Kelly Redmile RVT, RDMS
Carolina Vascular Specialists

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