Compliance Question of the Week – Laboratory

Do you know what the payment rate would be for CPT® codes 85025 (CBC) and 80061 (lipid panel) under the new proposed CLFS?

What does PAMA specifically say about CLFS payment rate decreases? I know that CMS has proposed reductions for 2018, and I just wonder how these comply with the original law.

Is there any word yet from CMS on the new CLFS rates for 2018?

If a Medicare claim for a lab test is denied due to one of the CCI edits, can it be billed to the beneficiary?

Where can I find the latest diagnosis code changes to the laboratory NCDs?

The CCI code-pair edits include a column with a modifier indicator—sometimes 0, 1, or 2. What do each of these represent?

How can I check on the test complexity for a specific test system?

How does CMS determine whether a test is moderate or high complexity, or if it is waived?

Is it appropriate to bill for the thawing of fresh frozen plasma (FFP)?

How will CMS pay the new ADLTs?

I heard that CMS plans to revise the lab DOS policy. Can you provide the transmittal where this information is published?

What codes would be reported for targeted genomic sequence analysis?