colsonccsp@yahoo.com
Contributor
In the Medlearn article, MM8572, for direction under the 2014 OPPS for labs CMS says that
"Beginning in 2014, when the hospital only provides laboratory tests to the patient (directly or under arrangement) and the patient does not also receive other hospital outpatient services during that same encounter;" (we can bill the claim as a 14X rather than a 13X claim type)
What is considered "other outpatient services"? Specifically if an EKG is performed with the lab test is that considered an "other outpatient service" and triggers the claim to be sent as a 131X claim rather than a 141X claim?
If anyone knows where I can find some documentation on this I would greatly appreciate it.
thank you,
-Christina
"Beginning in 2014, when the hospital only provides laboratory tests to the patient (directly or under arrangement) and the patient does not also receive other hospital outpatient services during that same encounter;" (we can bill the claim as a 14X rather than a 13X claim type)
What is considered "other outpatient services"? Specifically if an EKG is performed with the lab test is that considered an "other outpatient service" and triggers the claim to be sent as a 131X claim rather than a 141X claim?
If anyone knows where I can find some documentation on this I would greatly appreciate it.
thank you,
-Christina
Last edited: