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FRIDAY COMPLIANCE BRIEFING: 6/21/2002

EDITOR'S WELCOME

Recently we have received a significant number of questions concerning Medicare reimbursement amounts for lipid panels. Many providers are confused to why the reimbursement amounts for these panels are often different than the corresponding fee schedule amount listed in the Medicare Laboratory Fee Schedule. The following briefing will explain these discrepancies and hopefully diminish some of the existing confusion surrounding this issue.

We continue to receive useful comments and questions. As always please feel free to contact us with questions, concerns, or ideas for future Friday Compliance Briefings.

Sincerely,

Gregory Root, Esq.

MEDICARE REIMBURSEMENT FOR LIPID PANELS

The reason providers will sometimes see differing reimbursement amounts for lipid panels listed on Explanation of Benefits Forms (EOBs) is directly linked to the confusing methodology used by Medicare to reimburse automated tests. When a provider submits a lipid panel for payment along with other auto....

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