Laboratory Question for the Week of April 11, 2022
Do the NCCI updates that clarify CPT® utilization guidelines for multi-gene panel coding still remain in effect for 2022? If so, what do they specify?
Do the NCCI updates that clarify CPT® utilization guidelines for multi-gene panel coding still remain in effect for 2022? If so, what do they specify?
As a follow-up question to last week’s topic, can you provide any examples of per flat-rate trip billing?
What is the minimum per-mile travel allowance for 2022 for specimen collection?
When it comes to the new 2022 radiology directives, how is a foreign body defined?
What is the status of the appropriate use criteria? Did the final rule provide any updates?
Are there still coding and compliance risks posed with COVID-19 testing and protocol? Is there potential for audits in the future?
If my radiologist supervises a physician assistant (PA) performing a procedure in the radiology department of the hospital, and signs off on the report, can the radiologist bill the procedure under his name?
Radiology stakeholders are still working to understand and absorb the potential impacts of the 2022 Medicare Physician Fee Schedule (PFS) proposed rule released by the
When reporting for appropriate use criteria in the future, what must be included in the claims?
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
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