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Physician Home | Insurance Coverage Insurance Coverage
Most insurance companies pay for clinically indicated PET procedures. To be clinically indicated, the PET scan must be potentially beneficial in providing information supportive of a diagnosis or monitoring certain conditions.
Private Insurance Most private insurance companies cover the same indications that Medicare covers, but may cover additional indications. In either case, it is prudent to check with the insurance company prior to the PET scan. Medicare PET scans are covered by the Centers for Medicare and Medicaid Services (CMS), Medicare, for specific clinical conditions under a National Coverage Determination (NCD). 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 will be available if the patient's referring physician and the provider submit data to a clinical registry to assess the impact of PET on cancer patient management. The NOPR is implementing this registry for CMS. Please contact our office with questions regarding insurance and coverage for PET scans. PET Imaging Institute of South Florida Hollywood 1150 North 35th Avenue, Suite 665 Hollywood, Florida 33021 Tel: 954-981-6668 Fax: 954-450-5944 PET Imaging Institute of South Florida Pembroke Pines 603 N. Flamingo Road, Suite 155 Pembroke Pines, Florida 33028 Tel: 954-450-2202 Fax: 954-450-8401 Center Manager Please contact our Center Manager for any questions related to center operations such as scheduling, billing, exam preparations, and directions. Mary Pons Tel: 954-981-6668 Fax: 954-981-5944 mpons@piisf.com Professional Services Coordinator (PSC) Professional Services Coordinators are provided by our center as a non-physician point of contact for referring doctors. Please feel free to contact them to obtain referral pads, journal article reprints and other educational materials related to PET. Ann Marie Donaldson Tel: 954-981-6668 Cel: 954-662-5025 Fax: 954-981-5944 amdonaldson@piisf.com Erika Thomas Tel: 954-981-6668 Cel: 954-668-5371 Fax: 954-981-5944 erika.thomas@piisf.com Visit http://www.petimagingflorida.com/ |