Laboratory Question for the Week of September 20, 2021
How many separately timed specimens can we bill for when reporting 81050?
How many separately timed specimens can we bill for when reporting 81050?
Regarding the Appropriate Use Criteria (AUC) program, CMS recently stated “Currently, the program is set to be fully implemented on January 1, 2022, which means AUC consultations with qualified CDSMs are required to occur along with reporting of consultation information on the furnishing professional and furnishing facility claim for the advanced diagnostic imaging service. Claims that fail to append this information will not be paid.” Our hospital images are read by an outsourced radiology group. Will the hospital still receive payment for the technical portion if AUC requirements are not met? Will the radiologist’s claim be completely denied?
As discussed in several transmittals including the Quarterly Update for the Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment, the
What is the payment status indicator of P9050?
Can we use modifier 76 to indicate repeat laboratory services?
How should respiratory therapy bill for ventilation management provided in the emergency department?
Are we able to bill for both A9539 and A9540 radiopharmaceutical codes when a ventilation and perfusion scan is performed? Medicare is denying the A9539 code. If not, which codes should we be billing?
What are the minimum requirements for a face-to-face clinical evaluation for polysomnography?
Is code 54250 payable when billed with PSGs codes?
What is the purpose of COVID codes 87636 and 87637?
What is the consumer price index for 2021?
What is the update to the national minimum payment amount?
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