decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Laboratory_Services_Clinical / Who_bills_and_gets_payment_for_clinical_lab_tests
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Article Overview
This article summarizes Medicare payment and billing considerations for clinical laboratory tests performed in common outpatient and facility settings. It is aimed at physicians, billing staff, and laboratory billing personnel who need a high-level understanding of assignment, claim notation, and required claim elements without delving into code-specific detail.
Why This Topic Matters
Clinical laboratory billing involves specific Medicare claim handling steps and documentation requirements that can affect whether payment is properly assigned and how the claim is processed.
What You Will Learn
- Where Medicare may reimburse clinical laboratory tests
- General claim handling considerations when non-assigned services are included
- Basic information that must appear on a claim for purchased tests
- Why assignment and claim notation matter in laboratory billing
Who Should Read This
- Physicians
- Medical billing staff
- Laboratory billing personnel
- Practice managers
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