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Physician Home | Insurance Coverage Insurance Coverage
Most insurance companies pay for clinically indicated PET and PET/CT procedures. To be clinically indicated, the procedure must be potentially beneficial in providing information supportive of a diagnosis or monitoring certain conditions.
Private Insurance Generally, most private insurance companies cover the same indications as Medicare, although some may cover more indications and some may cover fewer indications. Private payers can have wide variations in coverage policies, coverage criteria or procedures. The referring physician and the imaging center work together to verify specific local coverage guidelines and to obtain pre-authorization prior to performing the scan. Medicare The Centers for Medicare and Medicaid Services (CMS) coverage policies for PET and PET/CT indications are decided at a national level and are documented in a National Coverage Determination (NCD), section 220.6 Medicare Covered Indications. National Oncologic PET Registry (NOPR) The National Oncologic PET Registry (NOPR) was developed in response to the Centers for Medicare and Medicaid Services (CMS) proposal to expand coverage for FDG PET to include cancers and indications not presently eligible for Medicare reimbursement. Medicare reimbursement for these cancers is available if the patient's referring physician and the imaging provider submit data to a clinical registry to assess the impact of PET on cancer patient management. The NOPR implements this registry for CMS. Please contact our office with questions regarding insurance and coverage for PET scans. Meridian North is pleased to announce the addition of our new PET/CT Scanner. Click here to learn more about this state of the art technology. Meridian North Imaging Center 12188-A N. Meridian Street Suite 100 Carmel, IN 46032 P - (317) 715-9999 F - (317) 715-9990 Patient Orders & Insurance Information Toll Free (866) 387-3828 F - (317) 574-0709 PET/CT Hours of Operation: Monday - Friday 8 a.m. - 5 p.m. MR Hours of Operation: Monday & Wednesday 8 a.m. - 7 p.m. Tuesday, Thursday & Friday 8 a.m. - 5 p.m. Staff: Linda A. Wilgus Executive Director Lori A. Bricker, BSRT(R)(M),RVT Director of Operations Marty Buening Director of Information Technology Rhonda Duncan Billing Manager Erika S. Pickett, C.P.C. Coding Manager/Compliance Manager Debbie Lawrence, RT(R)(M)RDMS Marketing Manager Debbie England Human Resources Manager Neil Rosenbarger, RT(R), CT PACS Administrator Beth Groves, RT(R) MNIC Supervisor Our Physicians Email Us Meridian North Imaging Center |