In Billing
Jan 30th, 2019
There are 13 new CLIA-waived tests effective April 1, 2019. The Center for Medicare & Medicaid Services (CMS) announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is Key to CLIA Waived Test Codes The modifier QW CLIA waived test must be appended to all but a handful of CPT ...
In Audit
Sep 12th, 2012
The Mayo Clinic is paying $1.26 million to settle false billing claims of never performed lab tests to Medicare and Medicaid. Mayo has already paid $263,000 to the government since the whistleblower case began in 2007. According to the state attorney’s office, the government will pay $229,822 to the four whistleblowers involved. Fraud Claims Cost Mayo Clinic $1.26M was ...
In Coding
Dec 2nd, 2008
New CPT® codes that go into effect Jan. 1, 2009 will allow your lab to code more accurately for advancing diagnostic tests, according to the Coding Institute’s Pathology/Lab Coding Alert (Vol. 9, No. 11). Let’s say, for example, that a patient presents with chest pain but shows a normal EKG and tropinin-negative test results. The ...