Wiki Clia - mod qw question

[Partha]

There are 4 types of CLIA Certificates.

1. A certificate of waiver allows a laboratory to perform only tests categorized as waived.

2. A certificate of PPM allows a laboratory to perform tests categorized as provider perform microscopy procedures and, if desired, waived tests.

3. A certificate of compliance allows a laboratory to perform tests categorized as waived, PPM, moderate or high complexity.

4. A certificate of accreditation allows a laboratory to perform tests categorized as waived, PPM, moderate or high complexity.

When a lab with certificate of waiver performs a waived test they are required to use modifier QW.

When a lab has a ceritificate of PPM they are allowed to perform waived test, but CAN THEY BILL THE WAIVED TSET WITHOUT MOD QW?

 

[sheath]

Have you found an answer to your question?

 

[laurelmedical]

Medicare denying with QW

We performa few waived tests in the office. We are a waived lab under CLIA. Medicare is denying these charges with remark notes of "CON, GRA, R1" What am I missing?