decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / AB-03-132
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Article Overview
This article summarizes a CMS Program Memorandum for Medicare Part B laboratory services. It covers diagnostic and screening prostate-specific antigen testing, associated coverage context, and the national policy for reporting the date of service on laboratory claims and orders. The content is relevant to laboratory billing, Medicare compliance, and clinicians or staff involved in ordering and submitting laboratory tests.
Why This Topic Matters
It helps providers, laboratories, and billing staff understand a Medicare Part B laboratory policy update and the documentation requirements tied to claim submission.
Article Sections
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Program Memorandum Information
Administrative details about the transmittal, issuance dates, and distribution instructions for the Medicare bulletin item.
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Guidelines for Medicare Part B Laboratory Testing
An overview of the CMS coverage policy discussion for prostate-specific antigen testing and laboratory date-of-service reporting under Medicare Part B.
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Diagnostic PSA Laboratory Testing
Background on the Medicare coverage framework for diagnostic prostate-specific antigen testing, including the clinical and policy context addressed by CMS.
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Screening PSA Laboratory Testing
Coverage and ordering context for screening prostate-specific antigen testing under Medicare, including the general limitations described in the article.
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Date of Service for Laboratory Testing
CMS guidance on how the date of service is determined for laboratory claims and the related collection-date information expected on laboratory test orders.
What You Will Learn
- The CMS topics addressed in this Medicare Part B laboratory guidance
- How diagnostic and screening prostate-specific antigen testing are discussed in the policy context
- What the article says about laboratory date-of-service reporting on Medicare claims
- Which organizations and program documents frame the guidance
Who Should Read This
- Medical coders
- Billing and claims staff
- Laboratory personnel
- Physicians and ordering providers
- Compliance staff
Codes Discussed
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