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Research the difference between the Technical Component and Professional Component and how each affects the reimbursement from the insurance carrier(s).
Some procedure codes in the 70000, 80000, 90000, and G series are a combination of a professional component and a technical component. [ Therefore, these codes may be billed one of three different ways; (1) as a global, (2) as a professional component, or (3) as a technical component. NOTE: Not all providers are allowed to bill any or all of the three ways to bill. Specific coverage questions
should be addressed to the Provider Assistance Center. Professional component, the provider does not own or operate the equipment. The provider reviews the results, and provides a written report of the findings.Technical component, the provider must own the equipment, but does not review and document the results. The technical component charges are the facility’s charges and are not billed separately by physicians. The technical component is billed by adding modifier TC to the procedure code. The technical component can only be billed by facilities . ]
Expert answered|bongche|Points 3025|
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Asked 8/31/2012 7:17:55 PM
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Research the difference between the Technical Component and Professional Component and how each affects the reimbursement
Weegy: When a service is billed globally, the provider is reimbursed for the equipment, supplies, and technical support, as well as the interpretation of the results and the report. [ However, if someone else performed the technical aspects of a service, and the provider only interpreted the results and wrote a report, modifier 26 is necessary to indicate that the provider should receive reimbursement only for the professional component. ... (More)
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Asked 8/31/2012 7:13:20 PM
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Research the difference between the Technical Component and Professional Component and how each affects the reimbursement from the insurance carrier(s).
Weegy: The difference between the two is that, technical component of radiography involves taking of the radiographs of a patient while on the other hand, the professional component of radiography involves the reading of them. [ ] (More)
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Asked 8/31/2012 7:05:14 PM
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