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CodeMap® 06/14/2024: Fundamentals of Medicare Laboratory Billing: Avoiding the Pitfalls of Certain Test Ordering Policies

CodeMap® Briefing: 06/14/2024


Editor's Welcome: 

Today's briefing comes from Laboratory Economics. As always, please send us your comments, suggestions, and questions via email.

Clinical laboratories must comply with Medicare billing policies when submitting payment claims to Medicare. Specifically, Medicare will only pay for laboratory tests that are “reasonable and necessary” and are ordered by a treating physician. Attorneys with Baker and Donelson provide an overview of these fundamental billing requirements in light of a recent Department of Justice settlement over performance of certain urinary panel tests, specifically PCR urinalysis te....

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