Billing Medicare Secondary When Global Imaging Code (74181) Was Paid by Primary Insurance: A Complete Guide to the CMS Anti-Markup Rule
Introduction: The Conflict Between Commercial and Medicare Billing Rules Medical billing professionals who handle coordination of benefits claims frequently encounter a challenging scenario: a global imaging code such as CPT 74181 (MRI abdomen without contrast) was correctly billed and paid by a commercial primary insurer, but the claim must now be submitted to Medicare as … Read more