Effective for claims with dates of service on and after July 1, 2012, pathologists and independent laboratories that provide the technical component of physician pathology services furnished to hospital patients may no longer bill for and receive Medicare payment for these services.
This article is for clinical laboratories who submit claims for services paid under the Medicare Part B clinical laboratory fee schedule (CLFS) to Medicare administrative contractors (MACs) for services furnished to Medicare beneficiaries. [SE19006]
First Coast Service Options Inc. (First Coast) seeks your input on establishing local payment amounts for new laboratory test codes 0018U-0023U, 0029U-0030U, 0035U, 0041U-0044U, 0048U, 0050U, 0053U, and 0055U-0057U.
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.
Some clinical laboratories in the U.S. Virgin Islands are charging patients prior to performing services, a potential assignment violation. The article outlines Medicare regulations and potential penalties applicable to laboratories.
The CERT A/B MAC Outreach & Education Task Force published the guide, “Complying with documentation requirements for laboratory services” to educate laboratories and ordering/referring physicians on documentation requirements for laboratory services. Read more to learn about the improper payments for laboratory services identified by the Comprehensive Error Rate Testing (CERT) program due to documentation errors.
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