Siemens’ PETNET Solutions is committed to helping patients get access to appropriate positron emission tomography imaging procedures. That is why we provide resources that help patients and referring physicians with their reimbursement challenges.
Radiology benefit managers (RBMs) are widely used by private payers to determine the appropriateness of ordering imaging procedures based on patients’ clinical indications (signs, symptoms or diagnoses) and treatment monitoring.
The policies vary by plan. The policies contained here are the basis for coverage, but each patient‘s individual coverage may differ by group. For that reason, it is critical a facility perform a benefit investigation for each patent, for each service. Copies of RBMs oncologic clinical criteria guidelines can be found in the interactive RBM map.