May 8th, 2014
The Centers for Medicare & Medicaid Services (CMS) issued a final rule May 7, reforming several Medicare regulations identified as “unnecessary, obsolete, or excessively burdensome” on healthcare providers and suppliers. According to CMS, this regulatory reform will save healthcare providers $660 million annually, and $3.2 billion over five years. The final rule, Medicare and Medicaid ...
Apr 24th, 2014
The CPT® codes the Centers for Medicare & Medicaid Services (CMS) considers to be laboratory tests under the Clinical Laboratory Improvement Amendments of 1998 (CLIA) change each year. CMS released, April 4, the latest CLIA-waived tests approved by the FDA. Among them is new CPT® code 83516, assigned for the immunoassay test used to confirm ...
In Billing
Jul 26th, 2012
The Centers for Medicare & Medicaid Services (CMS) recently notified contractors of 11 new tests approved by the U.S. Food and Drug Administration (FDA) as waived tests under Clinical Laboratory Improvement Amendments of 1988 (CLIA). Effective Oct. 1, 2012, appropriately certified facilities may be reimbursed for the following 11 new waived tests: CPT® Code Effective ...
Apr 12th, 2012
Certified facilities performing laboratory tests should be aware of a recent update to the list of codes subject to or excluded from Clinical Laboratory Improvement Amendments (CLIA) edits. New codes subject to CLIA edits and payable under Medicare are shown in the table below. Code Effective date Description G0434QW April 22, 2011 Diagnostic test group ...
In Audit
Oct 28th, 2011
Medicare administrative contractors (MACs) have been alerted by the Centers for Medicare & Medicaid Services (CMS) that the following new waived tests under the Clinical Laboratory Improvements Amendments of 1988 will continue to be waived in 2012. To be considered as waived, the newly recognized tests must be reported with the codes below and the modifier QW ...