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CodeMap® Compliance Briefing: 06/08/2007


Editor's Welcome:

Hospitals perform many, many glucose tests each day for their Medicare patients. Not surprisingly, the Medicare rules and regulations concerning hospital glucose testing are complex and often cause significant confusion. Here at CodeMap, we receive numerous inquiries concerning this subject each week. Whether or not a glucose test performed by a hospital is covered and paid by Medicare depends on several factors including; one, the purpose of the test, diagnostic vs. monitoring; two, how the test is performed, either in the laboratory or point of care; and three, for what type of patient the test is performed, outpatient or inpatient. Today's briefing will attempt to explain the interacting rules and regulations that govern the performance, coding, billing, and ultimately the Medicare reimbursement of glucose tests performed by hospitals for Medicare beneficiaries. As always, please forward any ....

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