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    Question Lab DOS

    When working at an outside lab, do you use the collection date as your DOS or the date you received the specimen as your DOS?
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    Opinions Needed

    Instead of billing 87505-87507, could we bill 87798 if we are only looking for ONE organism offered in 87505-87507? thanks!
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    discount vs self pay

    Can you provide a discounted rate for payers who are out of network, but ALSO have a self pay rate for patients who are uninsured? Thanks!
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    Abn

    can someone refresh my memory... if a patient signs an ABN and then the services are denied, do we bill the patient up to Medicare allowable or can we give them a discount rate?
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    Medical Documentation

    Can anyone assist with where I can find chart documentation for an ICD-10 code, for example I am looking for the criteria that would need to be met in order to bill A04.8 Chart documentation for this code must include: ?? I work at a lab, so I do not have direct access to the patient's...
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    87505, 87506, 87507

    Having issues getting paid for codes 87505, 87506, 87507 due to new LCD by CMS. Any suggestions on how we can appeal the LCD? the LCD (L37709) list the acceptable diagnosis codes, but the diagnosis code listed are only for specific diagnosis. Therefore, if a patient comes in with a symptom...
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    LCD Policy

    Any laboratory billers can assist with a recent LCD guideline? https://www.cms.gov/medicare-coverag...=gAAAACAAAAAA& This policy has completely changed our billing because this effects our major test. These diagnosis are very specific, but until you diagnosis someone you cannot select one of...
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    Lcd l37709

    Any laboratory billers can assist with a recent LCD guideline? https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=37709&ver=5&CoverageSelection=Local&ArticleType=All&PolicyType=Final&s=Alabama&CptHcpcsCode=87507&bc=gAAAACAAAAAA& This policy has completely changed our...
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    Compliance Policies

    Hey, could someone direct with where to find compliance policies? I have went to oig.hhs.gov but I am not able to find what I am looking for. Any assistance would be great! Thanks!
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    Pr-45

    I am going back and forth with my billing company in regards to placing the PR-45 amounts on patient statements/bills. They have mention that in compliance with the OIG we should still be charging the patient what the payer puts to patient responsibility, however, we are NOT contracted with many...
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    Discounts

    I currently work for a lab, we are providing uninsured patients a discounted rate. However, we are a new and upcoming lab, so we are not in-network with many insurance. Therefore, we provide another discount for people with insurance but we are out of network with their plans. Is that...
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    Lab Billing

    can anyone help me determine if codes 87529 and 87798 need a modifier? thanks!
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    newly certified

    I recently obtained my CPC, and now looking to start my career. Can anyone give advice on where to start? Or options for companies doing remote work that will hire at entry level? -thanks!
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