In Billing
Feb 5th, 2018
The Clinical Laboratory Improvement Amendments of 1988 (CLIA) requires that only certified labs may bill for laboratory services, unless the test in question has been granted a waiver. The Centers for Medicare & Medicaid Services (CMS) has announced several new laboratory services, recently approved by the Food and Drug Administration (FDA), which qualify for a ...
In Billing
Aug 27th, 2010
Palmetto GBA, Medicare administrative contractor (MAC) for jurisdiction 1 (J1), recently reported that the Comprehensive Error Rate Testing (CERT) contractor reported an increase in errors for complete blood counts (CBC) and urinalysis (UA) laboratory services. According to the CERT report, data indicate two types of common errors: Code selection errors Standard protocol use in place ...
In Coding
Nov 16th, 2009
National Government Services (NGS) says Error Code (EC) 31 Services incorrectly coded denials have been increasing in relation to CPT® 85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count. “Review of the CERT data shows that the CERT contractor has been re-coding CPT 85025 to show the ...