Reimbursement-lca

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What do lab professionals need to do to ensure sufficient documentation for billing clinical laboratory and pathology services?

Labs will have to submit Z-Codes with every molecular pathology testing code billed to UnitedHealthcare, starting Aug. 1.

Recent developments pose reimbursement and compliance challenges for billing and coding infectious disease testing—here’s how to manage them.

The new codes have garnered attention as a future mechanism for additional reimbursement and thus deserve further discussion.

Auditing in medical laboratories is critical for reviewing processes to identify erroneous outcomes, as well as areas for improvement.

By Glenn S. Demby | Mar 28, 2023 | 1 min read

To ensure proper Medicare Part B billing and coding, your billing staff must be aware of all 22 of the newly recognized PLA codes.

Proper usage of ABN-related modifiers is a significant issue that has a direct impact on your lab’s reimbursement and compliance.

By Glenn S. Demby | Mar 24, 2023 | 1 min read

Lab leaders must be able to make a sound assessment of both the costs and benefits, and the liability risks involved.

By Glenn S. Demby | Mar 24, 2023 | 1 min read

Labs have a duty to inquire into what their billing company is up to and whether it complies with all applicable regulations.

By Glenn S. Demby | Feb 24, 2023 | 1 min read

How to explain the current state of EKRA to your lab executives.

By Glenn S. Demby | Jan 1, 2023 | 1 min read

Here are the changes to Medicare specimen collection fee and travel allowances included in the 2023 PFS and what you’ll need to know to comply.

One of the biggest danger areas that labs and their billing staffs face in COVID-19 test reimbursement is improper use of HCPCS code G2023.

What labs and billing managers need to know about multianalyte assays with algorithmic analyses coding for tests based on molecular platforms.