Compliance Corner

Medicare issued an emergency update to correct technical errors in certain elements of the 2015 Medicare physician fee schedule. For the most part, these corrections have little effect on laboratory … [Read more...]

G2 Compliance Corner: Our laboratory continues to be unclear on what the rules are for performing and billing complete blood counts (CBCs) when the physician orders “CBC.” Can you help?

Medicare considers an order for a CBC to mean an order for the test described by Current Procedural Code (CPT) 85027, which does not include a differential. If a physician wants a differential, the … [Read more...]

Compliance Corner

Our hospital is taking a conservative view/interpretation of a coding service’s comment, insisting on receiving “narratives only” diagnosis information from physicians submitting orders for our … [Read more...]

G2 Compliance Corner

What date of service should be used for the interpretation of a diagnostic test (professional component or PC) when the PC is performed on a different day than the technical component? The Centers … [Read more...]

Compliance Corner

My laboratory is confused about the application of the modifiers 59 and 91 for laboratory services. Can you briefly explain how each should be used? Both modifiers are used to report a repeat test or … [Read more...]

G2 Compliance Corner

We are trying to figure out how to code immunohistochemistry stains using the new codes that will be available in 2014, 88342 and 88343. We are also confused about how the two new Medicare “G” codes … [Read more...]

G2 Compliance Corner

In last month’s issue, we addressed changes to the CPT codes used to bill for immunohistochemistry stains. A reader pointed out an error in the article in one of the scenarios presented to illustrate … [Read more...]

G2 Compliance Corner

Pennsylvania recently passed a law prohibiting leasing or renting space in a physician office or placing phlebotomists in an office. Can a lab lease or rent space from a physician in other states … [Read more...]

Compliance Corner

How often should a laboratory conduct compliance audits of its billing and coding? The answer depends on many factors and will vary from provider to provider. The frequency of audits and reviews of … [Read more...]

Compliance Corner

Can a lab add diagnosis codes to a claim in addition to those provided by the ordering physician, based on the results of the test? The answer to this depends on the tests involved and who is … [Read more...]


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