Pay-per-view: Billing labs with CMS’ new modifier
APCs Insider, October 17, 2014
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Over the past 15 years, CMS has refined its understanding of and commitment to OPPS as a prospective payment system—period—and not as fee-schedule driven, with separate payment made for each coded line item. Beginning in 2014, CMS finalized one of the most aggressive packaging policies under OPPS history—laboratory testing—making good on that goal.
Later in 2014, CMS published further instructions regarding when laboratory tests are paid separately and ultimately packaged in Transmittal 2971 and MLN Matters SE1412. Beginning with dates of service on or after July 1, CMS requires appending modifier -L1 to assist with revenue cycle operations and securing separate payment from CMS when stated provisions are met.
Continue reading “To be or not to be: Billing labs with CMS' new modifier” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the October issue.
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
Most Popular
- Articles
-
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- What to include on the incident report
- OB services: Coding inside and outside of the package
- Q&A: Primary, principal, and secondary diagnoses
- Code diagnoses and outpatient treatment for PTSD
- Complications from immobility by body system
- Understanding nursing roles in quality improvement
- Joint Commission clarifies ligature risk requirements
- E-mailed
-
- OB services: Coding inside and outside of the package
- Q: What are the requirements of an agency's professional advisory committee (PAC)?
- Q/A: Reporting L code and CPT code for splinting
- Q&A: Charging for drug administration during urgent care visit
- Prioritize sepsis assessments in your overcrowded emergency department
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Joint Commission clarifies ligature risk requirements
- Food and drink in patient care areas
- Coding meconium aspiration
- Clinical Corner: Revisiting respiratory failure
- Searched