| Your comprehensive how-to resource
Where can you get answers to all your questions about laboratory CPT® codes, diagnosis codes, the National Correct Coding Initiative, modifiers, payment strategies, medical necessity, claim denials and more? If the question has to do with revenue management for the hospital laboratory, you’ll find the answer right here! We created this guide especially for laboratory managers and directors…a resource to help you lead with confidence. Highlights:
- How-to information pertaining to correct CPT® code assignments for common, as well as complex, laboratory and pathology procedures
- Detailed guidance with diagnosis coding, supplemented with real-life examples
- Extensive coverage of the CCI and how it applies to bundling and the use of modifiers
- Comprehensive explanations of the Medicare payment systems that affect laboratories
- Instructions for meeting medical necessity requirements
- Denial management best practices: how to prevent and appeal denied claims
- Appendices containing the most current ABN (in English and Spanish), the clinical laboratory fee schedule with payment rates, CLIA-waived tests and the Medicare Claims Processing Manual chapter devoted to laboratory services
CPT is a registered trademark of the American Medical Association
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