Help!! Modifiers For Lab Codes (clia Waived Tests)

chillyred

Guest
Messages
6
Best answers
0
I have been receiving rejections for lab codes from medicare. I have added QW to them however some still won't pay. What do I do?:confused:
 

bhaskins1

Networker
Messages
92
Best answers
0
Check with support for your billing software... we had the same problem with medicaid on CLIA waived tests... it turns out someone had changed one space in the description on our software that stopped the our CLIA number from reporting on the claim the way it should. Hope this helps...
 

pkulczycki

Networker
Messages
31
Best answers
0
Is your CLIA number loaded into your software system? Check to make sure this number is printing on the claim or transmitting appropriately. I agree with the other response you received, make sure your modifier's are transmitting or printing correctly. One last thing, are your keeping up with the current list of labs that are CLIA waived?;)
 

CoderChick24

Networker
Messages
61
Location
Columbus, OH
Best answers
0
You may also want to check the list of CLIA waived tests to see if the code you are billing requires the QW modifier. Not all CLIA waived tests need the modifier.
 

dendsley

Guest
Messages
2
Best answers
0
We have to also make sure a referring doctor is listed on the claim along with the CLIA # and the QW modifier
 
Top