Industry Notes: Consider New DOS Guidance for Lab Tests From CMS

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

Article Overview

This article summarizes recent CMS-related operational guidance for laboratory and pathology billing, with emphasis on date-of-service handling and related claim-processing concerns. It also covers a separate Medicare policy update affecting certain IMPACT Act data collection plans for 2018. The piece is relevant to billing staff, lab and pathology practices, compliance teams, and anyone tracking CMS operational changes.

Why This Topic Matters

The article matters because it highlights a CMS billing guidance change that could affect claim submission workflows for lab and pathology services, and it flags a postponement in Medicare data-collection requirements that may affect provider planning. Readers can use it to determine whether they need to review internal billing processes or monitor CMS/MAC updates.

Article Sections

  1. Laboratory and pathology date-of-service guidance

    Discusses CMS guidance affecting how date of service is handled for laboratory tests and pathology billing, including related claim-processing and software considerations.

  2. IMPACT Act update for 2018 data elements

    Summarizes CMS remarks about delaying certain planned IMPACT Act data elements and the stated reasons for postponing them.

What You Will Learn

  • How the article frames CMS date-of-service guidance for lab and pathology billing
  • Why the update may affect claim workflow and billing coordination
  • What the article says about postponed IMPACT Act data collection items
  • Which organizations and CMS communication channels are referenced in the update

Who Should Read This

  • Medical coders
  • Billing staff
  • Pathology practices
  • Clinical laboratories
  • Compliance professionals
  • Revenue cycle teams

Modifiers Discussed

  • CPT: TC
  • CPT: 26

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