tci Medicare Compliance & Reimbursement - 2012 Issue 21

Reader Question: Check Your Contracts for Specialized Lab Test Billing

Question: Our physician has been running some very specific tests (saliva, stool, heavy toxic element screening, 90 panel allergen, etc.). We bill the patient's insurance, and then the lab bills us. We also ask the patient to sign an ABN in case the test isn't covered. Some of the insurers aren't paying what my physician is being billed. Can we bill the patient for the remainder when the insurer pays very little toward our cost?Answer: Not likely; you cannot bill the patient for the remainder if you're contracted with the insurance company. You must write off any...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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