Clear, concise and more comprehensive than ever!
Now, one book answers your coding, billing and compliance questions pertaining to all laboratory and pathology services - using concise, straightforward language. This two-in-one resource is applicable to hospital-based, physician office and independent laboratories. You simply won't find a more comprehensive how-to book of its kind! Highlights:
- Detailed descriptions of 2011 CPT/HCPCS coding additions, deletions and revisions for all laboratory and pathology services
- Step-by-step guidance encompassing the entire 80XXX CPT code series - clinical diagnostic laboratory tests, plus pathology, cytology, histology and blood products
- Coding and billing tips to help you capture every appropriate reimbursement dollar while preventing errors that may be "red flags" for recovery auditors
- Must-know points about the Correct Coding Initiative (CCI) and how it applies to the billing of code pairs and use of modifiers
- Sample chargemasters in every chapter, covering all laboratory disciplines
- At-a-glance tables providing essential payment information for pathology services
- Links to CMS documents, a convenient way to access official directives specifically concerning laboratory services
- NEW FOR 2011:
- Covers the 16 new CPT codes for laboratory and pathology services in 2011; augmented with updated coding flowcharts
- New chapter on professional coding, modifier assignments and billing for pathology services
- Identifies frequent Comprehensive Error Rate Testing (CERT) errors by CPT code
Findings from MedLearn consulting experts
MedLearn consulting experts speak from their real-world experiences regarding the potential benefits of Coding Essentials for Laboratories to healthcare organizations:
A $30,000 coding error - "We see many errors in coding and billing for microbiology tests. One of our hospital clients realized they were miscoding for urine cultures, resulting in lost revenues of at least $30,000 annually. They could have avoided this issue by using our book to conduct a self-audit of their coding and billing practices."
Short-changed on blood products - "Coding for blood products continues to be a common - and costly - problem area for many hospitals. Often they code for basic product processing, when they should be coding for premium product processing. For example, they assign HCPCS code P9021 for red blood cells, which pays $141.73 per unit under Addendum B, when in fact the product might be leuco-reduced, irradiated red cells (P9040) at $245 per unit. By failing to assign codes that describe further processing such as deglycerolization ($363.91), the missed payments really add up!"
Billing once, billing twice - "The most frequently billed CPT code is for venipuncture. Yet laboratories often don't understand the billing requirements, specifically whether to bill once or multiple times. Coding Essentials for Laboratories gives them the answers to help prevent line item denials for this common procedure."
Date of service errors - "When reporting date of service, should it be the date a specimen was collected by an outside entity? Or the date it was received in the laboratory? Unbeknownst to many facilities, the rules have changed, resulting in incorrect reporting. If a claim contains erroneous dates of service, hospitals may lose reimbursement dollars. Laboratories can use this book as a tool to avoid conflicts with date of service reporting."
CPT is a registered trademark of the American Medical Association
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