Fee schedule 2015 :The wait continues for Medicare’s decision on new codes and pay for drug screens

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews late-breaking Medicare activity affecting 2015 reporting and payment for drug screen testing. It focuses on the clinical laboratory fee schedule and the physician fee schedule, explains that the issue involves new and existing code sets for qualitative and quantitative drug testing, and highlights why laboratories, pain-management practices, and billing teams needed to watch for payer guidance.

Why This Topic Matters

Drug testing billing was in transition, with Medicare decisions potentially affecting which code set would be used by different payers and how practices would need to prepare their charge capture, super bills, and software. The article is relevant to organizations that bill for laboratory drug screens, drug assay, and confirmation services.

Article Sections

  1. Clinical lab fee schedule, 2015 — preliminary determination

    Covers Medicare’s proposed-rule activity for the 2015 clinical laboratory fee schedule and the status of public comments and final rule timing. It discusses the broader context of how the agency was approaching payment for drug screen-related services.

  2. Final 2015 Medicare physician fee schedule

    Summarizes the physician fee schedule release and its relationship to drug testing reporting for 2015. It also notes the presence of relevant addendum material and the uncertainty surrounding final payer direction.

What You Will Learn

  • How Medicare’s 2015 fee schedule actions affected drug screen reporting topics
  • How the article frames the relationship between laboratory and physician fee schedule updates
  • Which types of stakeholders needed to monitor payer guidance for drug testing billing changes
  • Why the article emphasizes preparation for changes in reporting workflows and systems

Who Should Read This

  • Medical coders
  • Billing specialists
  • Laboratory billing staff
  • Pain management practices
  • Health care compliance teams
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: G6031-G6058

Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?