In Billing
Apr 26th, 2019
Clinical diagnostic laboratories submitting claims to Medicare should be aware of 12 new tests recently approved by the FDA. The new Clinical Laboratory Improvement Amendments of 1988 (CLIA) waived tests are shown in Table 1. Table 1: New Waived Tests Requiring QW Modifier (MLN Matters MM11231) CPT® Code Effective Date Description 80305QW September 14, 2018 ...
In Coding
Mar 8th, 2019
The CPT® codes that are considered a laboratory test under the Clinical Laboratory Improvement Amendments (CLIA) change each year, as well as throughout the year, making it difficult for healthcare providers and laboratories to keep up. Here are the CPT codes for 2019 that are subject to or excluded from CLIA edits in easy-to-look up ...
In Billing
Feb 7th, 2019
The Centers for Medicare & Medicaid Services (CMS) is proposing to change the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for 2020 and it could affect a medical group or facility’s bottom line. CLIA Analyte Additions The notice of proposed rulemaking includes the addition and deletion of analytes – or the components being studied – ...
In CMS
Jan 3rd, 2019
Clinical Laboratory Improvement Amendments (CLIA) fees are being increased for the first time in 20 years, according to a holiday week notice from the Centers for Medicare & Medicaid Services (CMS). CLIA Fees Based on 1992 CMS wants a 20 percent increase for laboratories seeking a CLIA certificate. The agency explained that the program and ...
In Billing
Dec 11th, 2018
Effective March 16, 2018, Medicare will cover diagnostic laboratory tests using next generation sequencing (NGS) when ordered by a treating physician and performed in a Clinical Laboratory Improvement Amendments (CLIA) certified lab. Other specific requirements also must be met. The Centers for Medicare & Medicaid Services (CMS) revised the national coverage determination for NGS (NCD ...