tci Medicare Compliance & Reimbursement - 2004 Issue 18

Lab Tests: CMS Clarifies Confusion On Physician Referrals

Find out when physician referrals are and are not acceptable.If you have been searching for an answer to the question of carrier payment rules, and are further baffled by discrepancies between the Centers for Medicare & Medicaid Services' Internet-only manuals and the Medicare Carriers Manual, take some solace in knowing the department is rooting out those problems. On April 2, CMS sent out a notice which attempted to clarify carrier payment rules."These rules apply to tests which physicians are able to purchase from suppliers, e.g. codes that have both a technical component, which can be provided...

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