Question:
What are some tips we should keep in mind when pricing breast imaging services?
Answer:
In this era of price transparency mandates, it is particularly important to ensure pricing is fair, accurate, up-to-date and linked to the cost for providing the services. For services performed unilaterally and bilaterally, verify that the pricing for the right side (modifier RT) matches the left (modifier LT) and that services hard-coded with modifier 50 in the chargemaster are priced accordingly. There is potential for these nuances to be missed in the pricing process or for variation to occur due to rounding and usage factors.
