The Division pays for only one interpretation of an x-ray or EKG procedure furnished to an emergency room patient, and that is for the interpretation and report that directly contributed to the diagnosis and treatment of the patient. A second interpretation of an x-ray or EKG is considered to be for quality control purposes only, and is not reimbursable. Payment will be made for a second interpretation only under unusual circumstances, such as questionable finding for which the physician performing the initial interpretation believes another physician’s expertise is needed.

Statutory/Other Authority

ORS 413.042

Statutes/Other Implemented

: ORS 414.065

History

OMAP 28-2000, 9-29-00, cert. ef. 10-1-00