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Laboratory|Pathology - Articles

Inappropriate Use of Units Costs Practice Over $800,000
June 11th, 2018 - Wyn Staheli, Director of Research & Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
A recent OIG enforcement action emphasizes the need to understand the proper use of units. A healthcare provider in Connecticut improperly submitted multiple units for drug screening urine tests. The proper billing of units has proven to be problematic for more than just lab tests. Is your billing of drugs & biologicals, injections and timed codes appropriate?
Delivering Bacterial Culture Lab Orders
March 8th, 2018 - Medicare Learning Network
The Medicare Learning Network provides guidance on delivering orders for bacterial culture laboratory tests...
Documentation and Orders for Laboratory Tests
March 8th, 2018 - Medicare Learning Network
The Medicare Learning Network provides guidance on required documentation for ordering laboratory tests.
PAMA
November 25th, 2016 - M. Ann Bachman, BSMT (ASCP), CLC (AMT), CMPM
The Clinical Laboratory Fee Schedule (CLFS) final rule, "Medicare Program: Medicare Clinical Diagnostic Laboratory Tests Payment System" (CMS-16F) implements PAMA, the Protecting Access to Medicare Act of 2014. The purpose of this rule is to more closely align CLFS payments under Medicare with payments made by private payers. CMS perceives ...
New CLIA-Waived Tests
September 3rd, 2014 - Codapedia Staff
Providers can now bill for six new tests (4 drug tests and two lipid/glucose panels) that have been approved by the FDA as waived tests under CLIA. CLIA-waived tests are simple tests performed at the point-of-care using devices that are largely exempt from federal requirements, including most...

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