Medicare Compliance & Reimbursement

Industry Notes:

CMS Adds 16 Lab Tests to CLIA-Waived Status

Part B practices will benefit from three new tests that you'll be able to report as "CLIA-waived," thanks to an Oct. 21 CMS transmittal on the matter. According to MLN Matters article 2321, CMS will now consider these tests CLIA-waived. You'll have to append Modifier QW (CLIA-waived test) to these codes, which include the following, among others: 81003 -- Germaine Laboratories Inc. AimStrip Urine Analyzer and Mediwatch urinewatch Urine Analyzer G0434 -- UCP Biosciences, Inc. Drug Screening Test Cups, Diagnostic Test Group Clarity Multiple Drug Screen Cups, and Jant Pharmacal Accutest Drug of Abuse Urine Cup Test To read the complete article, which has an implementation date of Jan. 3, 2012, visit https://www.cms.gov/transmittals/downloads/R2321CP.pdf. Keep a Careful Eye on Your Vaccination Reimbursement Pay attention to your claims for flu vaccinations, or you may be losing Medicare reimbursement that's rightfully yours. "For September claims, influenza vaccinations were priced using the 2010-2011 influenza season [...]
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