In addition to increased packaging and collapsing of E/M clinic visit level CPT® codes in the 2014 OPPS -Final Rule, CMS made additional changes that will have an immediate impact on reimbursement
In the 2014 OPPS Final Rule, CMS offered the following -example for billing a laboratory test on the same date of service as the primary service, but ordered for a different purpose than the primar
The majority of Recovery Auditor (RA) takebacks in the past year involved hospitals (88%) and physicians (5%), which isn’t surprising because of the volume of services they provide, says De
In this week’s note, we will take a closer look at RUN transmittal R2845CP and related MLN Matters Article MM8572. Click the link above for more information and an in-depth analysis.
Last week, CMS released MLN Matters article MM8572 with billing instructions for laboratory services paid under either OPPS or the Clinical Laboratory Fee Schedule (CLFS). Prior to this guidance, I had received several questions from clients and past students regarding rural sole community hospital (SCH) add-on payments for lab services. Click the link above for more information and an in-depth analysis.
