Pain management-- Drug testing

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Leahmarie1217

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Hi Everyone!

I am hoping to get some help with in house lab billing for TOX SCREENING/CONFIRMATION. My provider is a pain management provider who bills 80307 and G0481 for Maryland Medicaid patients. I am getting denials from the MCO'S to bill Optum MD and Optum MD is denying the provider type is not edible for services. Have any of you came a crossed this problem?
 
You have a full lab in house, yes? Where you are testing the specimens using instrumentation? And the lab is not a separate company or separate entity owned by the provider? If all that is true, have you checked to see if he is registered as a lab with Optum MD?
 
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