decisionhealth Newsletters, Part B News - 2011 Issue 1 (January)
NPP Benchmark: NPP vs. physician billing of lab services
Subscribe or sign in to view the full article.
Article Overview
This article examines how non-physician practitioners and physicians compare in their billing of laboratory services using 2009 CMS claims data. It is intended for coding, billing, and compliance audiences interested in utilization patterns, service mix, and the operational impact of CMS’s clinical lab signature rule. The discussion focuses on broad benchmark comparisons and related workflow implications rather than detailed coding guidance.
Why This Topic Matters
It helps readers gauge whether NPP lab-ordering patterns resemble physician patterns and understand the potential scope of workflow changes tied to CMS’s clinical lab signature rule.
What You Will Learn
- How NPP laboratory billing patterns compare with physician patterns at a high level
- Which broad categories of lab services are common across both provider groups
- Why CMS’s clinical lab signature rule is relevant to ordering and workflow
- How 2009 CMS claims data is used as the basis for the comparison
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Revenue cycle teams
- Healthcare administrators
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com