annettebec
Networker
Can anyone out there tell me how you are handling filing a claim for pathology cases. I was trained to wait for the final pathology report before filing a claim. Do you charge from the requisition or do you charge from the pathology report with a definitive diagnosis. Also, do you have any documentation to back up the process you are using. I was trained that it is non compliant with Medicare to file a claim without the definitive diagnosis from the pathology report. If there is no definitive diagnosis, I was trained to use clinical signs and symptoms. Any help appreciated. Thanks