Αποτελέσματα Αναζήτησης
A small number of laboratory tests can be covered as a preventive screening service. See the Medicare Benefit Policy Manual, Chapter 15, for detailed coverage requirements. See the Medicare Program Integrity Manual, Chapter 10, for laboratory/supplier enrollment guidelines.
30.3.7 - Billing for Diagnostic Tests (Other Than Clinical Diagnostic Laboratory Tests) Subject to the Anti-Markup Payment Limitation - Claims Submitted to A/B MACs (B)
See the Medicare Claims Processing Manual, Chapter 18, "Preventive and Screening Services" for coverage, billing, appropriate HCPCS codes, and payment requirements. Payment is made under the Medicare Physician's Fee Schedule (MPFS) or clinical diagnostic lab fee schedule depending on the service.
A small number of laboratory tests can be covered as a preventive screening service. See the Medicare Benefit Policy Manual, Chapter 15, for detailed coverage requirements. See the Medicare Program Integrity Manual, Chapter 10, for laboratory/supplier enrollment guidelines.
Special SNF Billing Exceptions for Laboratory Tests 1640.4.1A3-3137.1B3-5114.1SNF-541, HO-437 Which Contractor to Bill for Laboratory Services Furnished to a Medicare Beneficiary in a SNF 16 40.5 A3-3628 Rural Health Clinic Billing 16 40.6 B3-4270.2 AB-98-7 PRM1 2711 Billing for ESRD related Laboratory Tests -
Human laboratory specimen testing must meet quality standards in the CLIA. The HHS Secretary must certify the laboratories doing clinical tests. Medicare covers medically necessary and reasonable diagnostic clinical laboratory services to diagnose or treat an illness or injury.
incorrect assignment of a Medicare Severity - Diagnosis Related Group (MS-DRG) and an incorrect payment to a hospital under PPS. See Chapter 25, Completing and Processing the Form CMS-1450 Data Set, for instructions about completing the claim.
