Are they telling you that you can bill an interpretation and report for a clinical laboratory test, in other words, bill the lab with a 26 modifier for a code that does not have a professional component per the Medicare physician fee schedule? If that's what they're talking about, this is a somewhat controversial area. Medicare and most payers that follow Medicare guidelines would not make payment for that, but there have been some inroads made into this by physicians who have argued that they should be reimbursed for the work of a professional component for clinical laboratory services, and I've read that in some states the courts have sided with the physicians and required insurance companies to pay this. So there may be some limited opportunities to bill this and be paid for it by certain payers in certain locations, but I'm not sure I'd recommend going down that path, if that's what they're suggesting.
But if not, they may be referring to some other method of billing - are you able to provide any specific examples of codes or billing scenarios, or can they give you any guidelines or specifics as to what exactly they're speaking of?