As of August 31, 2022, labs and other providers must use the new ABN labeled with the appropriate federal OMB Number (0938-0566) and CMS-R-131 to ensure they can bill Medicare beneficiaries for any lab tests or other services that Medicare doesn’t cover.
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Use of these codes has frequently raised concerns for compliance due to a lack of clarity regarding when they’re appropriate.
While this reimbursement rule has been in effect since 2018, it can still be quite confusing; this article provides a guide to the basics.
A briefing of the current requirements you can use to avoid billing and coding errors at your own lab or pathology practice.
An overview of the rules and requirements to help you keep your reference laboratory billing arrangements compliant.