Now Available on CD & On-Demand
Hospital, clinic or independent laboratory, the question is the same: "Will we get paid for the clinical drug testing we perform?" Claim denials are rampant, as CMS and its agents have been trying to put a stop to fraud and abuse since 2010.
Your staff need to understand and know how to apply 89 laboratory code changes, effective January 1, 2016, as well as many other updates to coding, billing and reimbursements.
The coming months will bring some of the biggest changes to laboratory coding in many years
— and a huge challenge for anyone involved with the laboratory revenue cycle.
Recent changes to MUE guidelines. The introduction of MUE Adjudication Indicators (MAIs). New HCPCS X modifiers. Uncertainty about the use of CPT® modifiers -59 and -91. It's no wonder the confusion surrounding the correct application of modifiers for laboratory and pathology services has been kicked up several notches!