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  COMMON DIAGNOSTIC TESTING: Q & A

Q. How am I legally entitled to be paid for the technical component of the test?
A. Our in-office diagnostic procedures have been approved by national health law. Leasing our medical technician and equipment for each test, while overseeing the procedure in your office, entitles you to reimbursement for the technical components of the tests.

Q.Will this count against my treatment allowance with insurance companies?
A. Insurance companies typically list diagnostics under an allowance separate from treatment coverage.

Q.What do the technical and professional components mean?
A. The technical component is the actual performance of the test. The professional component is the interpretation of the diagnostic test by a board-certified neurologist or radiologist, who will generate a report of findings.

Q.What insurance covers diagnostic testing?
A. All PPOs, solid P.I. cases on a lien, P.I. with Med-Pay and P.I.P. cases, and worker's compensation.

Q. How quickly can you begin testing?
A. 2-3 days.

Q. What is the average turnaround time for reimbursements?
A. Insurance companies vary, but on the average, it ranges from 4-12 weeks.

Q. Do the reimbursements vary for different healthcare professionals?
A. There is a preset reimbursement allowance for diagnostic exams, and it is usually consistent for all ordering physicians. (M.D., D.C., D.O., D.P.M.)

Q. Do we need to verify coverage to perform the tests?
A. Yes, in the states where pre-authorization is required, Proactive Medical Diagnostics will assist you in verifying coverage.

The Right Answers for the Right Questions

What does the company bill out for their professional services?
It is often overlooked but later realized that not all companies bill for services in an ethical manner. Make sure you are comfortable with their billing procedures and practices.

What services and support do they provide to assure you and your patients get the most out of the testing.
Look for services such as patient scheduling assistance, insurance verification on your behald, billing services and support and claims and appeals. These ancillary services are important components of a superior company.

What are their limitations as to Medicare and Medicaid?
Look for a company that will accommodate the needs of your practice and all of your patients.

Are there contractual commitments, testing quotas or financial obligations?
A solid company should provide services without limitations, exceptions and ongoing fees.

What are their policies on billing patients?
Find out in advance from the company versus later from your patients.

Ask for documents, references, credentials and ask questions.
Your patients will appreciate it and a quality company will expect it!