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Question:
Do you have any tips for overutilization monitoring?
Answer:
In order to provide overutilization monitoring, it is best for the information management department to print out the volume statistics by descending order by CPT® code. It is recommended that you count down your top 30 tests and draw a line. Repeat either monthly or quarterly, while documenting any tests that vary by 10 percent or more. Learn to tailor the information to exclude inpatients and payers other than the federally funded programs, your monitoring activities will improve.
This question was answered in our Coding Essentials for Laboratories. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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