US/FL/DEXA
NM/PET
CT
MRI
Insurance
100

This fluoroscopy exam is ordered frequently for patients who are having their ostomy closed. 

What is an XR Barium Enema?

100

What two Nuclear Medicine studies can only be scheduled between 11:00am-12:30pm? 

What is the NPYPCARD and NHDPCARD?

100

Daily Double

Who Spain or Argentina win the World Cup? 

Answer: of course Argentina

100

This order is technically only a C+T Spine

What is an MRI MS FULL SPINE? 

100

Does Traditional Medicare A + B and Railroad Medicare A +B have the same benefits and prior authorization requirements? 

No

200

The fluoroscopy exam can take anywhere from 30 minutes to 6 hours to complete? 

What is an XR Small Ball Follow Through?

200

This Nuclear Medicine study can show doctors how well your heart is working at rest. This scan is often done when a patient is going to start chemotherapy treatment that uses medicines that may be toxic to the heart. These study/scans may be done many times during chemotherapy or after treatment is done to check on your heart health. 

What is the MUGA study? 

200

Why do we need to create a new HAR for a Self-Pay Appointment? 

A HAR (Hospital Account Record) is the account tied to a patient’s visit that organizes billing, charges, and reimbursement. Creating a new HAR ensures same-day appointments proceed without delays or errors and keeps billing and registration accurate.

200

This scan can show areas of inflammation (swelling and irritation), bleeding, and other problems. The pictures will look at different parts of your small intestine and tissues around it. 

What is an MRI Enterography? 

200

With Financial Assistance coverage retiring on July 7th, we now have to mark patients with no other coverages as self-pay. Why is that, if they are approved for Financial Assistance, they are considered self-pay?

Financial Assistance is not truly a coverage and never has been, in the sense that we do not bill Financial Assistance for the services provided to the patient. Financial Assistance is a type of discount that patients can qualify to reduce the out-of-pocket cost of their services, sometimes by up to 100% for certain services. We previously used a coverage in Epic to show that Financial Assistance had been approved, but now this is done entirely through Epic’s Financial Assistance module. You can see Financial Assistance application and approval information in the patient’s storyboard.

300

This order must be protocoled by an MSK Radiologist before scheduling. 

What is an Ultrasound Guided Injection? 

300

This PET CT is done to assess how much heart muscle has been damaged by a heart attack or heart disease. The scan checks the blood supply to the heart and how well your heart muscle works. 

What is the PCARDV (PET CT Cardiac Viability)

300

This insurance only covers the initial CCARWO study, but no repeats? 

What is Aetna? 

300

This exam requires a patient to stop taking iron supplements 48 hours before the scan. Additionally, the patient is required to use a fleet enema to clean out the colon just before they leave their home. 

What is an MRI Prostate? 

300

Do patient estimates include their Financial Assistance discount?

Yes, Epic will automatically calculate the estimate including the patient’s applicable Financial Assistance discount

400
This Ultrasound can only be scheduled at NW or UWMC Hospital if the indication is for TIPS.

What is an US ABDOMEN DOPPLER COMPLETE (TIPS)?

400

This PET CT study is not being completed at UWMC at this time. The order is presently being converted to the PET CT PSMA F-18 Pylarify. 

What is the PCGA68PSMA?

400

What are the current CCARWO rates for patients with insurance denied, self-pay patients who pay before the exam, and self-pay patients who pay after the exam?

What is $282.86 if insurance is denied, $178.20 if self-pay is paid prior to exam, and $198.00 if self-pay is completed after exam. 

400

This exam usually takes 20-45 minutes. You may feel warmth in the area where the images are taken. This is normal... You will hear loud tapping or knocking noises during the scan. 

What is an MRI of the Brain?

400

In 2027, Financial Assistance will have to be reviewed how often? 

Every 6 months. Presently reviewed every 12 months. 

M
e
n
u