Examples of Professional component in a sentence
P = Professional component may be billed on appropriate claim form; all other components included in inpatient rate.
Professional component of clinical lab services is reimbursable only if ordinarily performed by the physician and directly contributes to diagnosis or treatment of an individual patient.
Mandatory – All mandatory data elements defined in the Implementation Guide must be submitted.b. Exception (Technical and Professional Component Charges) – For services where both a Technical and Professional component may be billed, the service should be billed to JVHL as follows: BILL CPT-4 CODES ON SEPARATE LINES WITH THE APPROPRIATEMODIFIERS: Example - 88305TC indicates the technical component is being submitted.
If a facility that furnishes the Technical component of RT services terminates its relationship with a participating PGP, then it may continue in the Model as long as it establishes a relationship with a new PGP that furnishes the Professional component of the RT services.
Providers must include the following modifiers, as appropriate, on the claim form:• 26 Professional component performed by a different provider than the technical component• TC Technical component performed by a different provider than the professional component• TH Multiple gestationsProviders may not include both the TC and 26 modifiers for a single procedure on the claim form.