Hi, I don't have a reference but will provide the knowledge I have learned from coding laboratory.
There isn't much here provided for information but I hear your woes; so may I provide a few examples please.
Provider(s) from our facility sending lab specimens to our lab (that will be processed/resulted by our laboratory) will be billed with:
Service & Billing Provider: is the internal provider that ordered the laboratory test
Department: xxxxxx lab
POS: where it was drawn
Referral Source: will typically be the one that provides the lab order, but if for example pre-op blood work is done for a different provider they may be listed depending on how lab order/referral was entered.
Facility receives an outside lab order (someone not within the facility)
Service & Billing Provider (in our system) is a designated placeholder such as "lab,betterhealthcommunityclinic" that will pull the correct NPI and POS for billing
Department: xxxxx lab
POS: where it was drawn
Referral Source: the provider that gave the facility the lab order/lab requisition - should be on the claim
This claim bills out with the medical director's NPI - make sure you know who your medical director(s) are. I'm from a small community in central MN and we have two different medical directors for our little area.
I apologize for not being able to provide more with the lack of information but if this doesn't provide some insight please reach out with additional details.
Thanks for listening & have a great evening,
Dana Chock, RHIT, CPC, CANPC, CHONC, CPMA, CPB
