clia

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    Wiki CLIA #

    We have a current patient on Accutane with UHC and they keep denying her HCG stating that our CLIA certificate level is PPMP and the codes certificate level is "waiver.". We were advised to have our certificate level changed to "Waiver". I just don't think this is correct, our CLIA certificate...
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    Wiki Modifier QW Question

    I posted this question previously and thought I had found my answer so I deleted it like a dummy. However, I didn't so I wanted to ask again. I work at an independent laboratory that has a CoA CLIA and does urine tox, some molecular testing, and some blood testing. One of our Medicaid payers...
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    Wiki FQHC Billing and Clia waived testing.

    Can anyone tell me if they are billing CLIA waived tests at their health centers? I know they are included in the "encounter rate" for Medicare and will go on the cost report to recoup our costs. However for all other insurances are you/can you bill the limited CLIA waived tests using the QW...
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    Wiki G0477 with PMM CLIA certificate

    Need some guidance with new drug code G0477. We hold a current CLIA certificate for provider-performed microscopy procedures. Can we bill G0477 with the QW modifier when it goes into effect in April? We had found MM9502 dated 1/1/2016 that states "The HCPCS codes listed in table 2 (G0477...
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