May 21st, 2018
Twenty-three National Coverage Determinations (NCDs) for clinical diagnostic laboratory services have been updated to reflect the April 2018 quarterly release of the edit module for such services. ICD-10-CM codes in effect April 1 affect coverage for several common lab tests. Note ICD-10-CM Code Changes in Lab NCDs The following lab NCDs add/delete ICD-10-CM codes from the ...
In Billing
May 14th, 2018
Clinical diagnostic laboratories can look forward to 12 new laboratory codes were effective April 1 and one code effective retroactively January 1. The Centers for Medicare and Medicate Services (CMS) released the changes May 5, 2018. The new codes are contractor priced until addressed at the annual Clinical Laboratory Public Meeting in July. All the U ...
In Billing
Feb 23rd, 2018
Several new Medicare Learning Network (MLN) fact sheets offer tips on provider compliance for certain items that regularly appear on the Office of Inspector General Work Plan due to a high level of improperly paid claims. Here’s a quick synopsis. Hospital Beds and Accessories Physicians and other practitioners who write requisitions or orders for hospital beds ...
In Billing
Feb 9th, 2018
Final payment rates, codes, and supporting documentation for the new private payer rate-based Clinical Laboratory Fee Schedule (CLFS) payment system, effective Jan. 1, 2018, are available. What’s Behind the New Payment System? Beginning Jan. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) changed the way it sets payment rates for clinical diagnostic laboratory ...
In Billing
Jan 23rd, 2018
The codes that are considered a laboratory test under Clinical Laboratory Improvement Amendments (CLIA) change each year. These codes require a facility to have either a CLIA certificate of registration (type code 9), a CLIA certificate of compliance (type code 1), or a CLIA certificate of accreditation (type code 3). A facility with a CLIA ...