lab diagnosis

  1. J

    Wiki Payable Diagnoses

    Hi all! A friend who works for a nephrology office in NY has asked for my help looking for coverable diagnoses for some labs her doctor routinely orders. They're finding that these labs are getting denied when they're done by Quest, for patients with Medicare. I've looked for LCDs and NCDs on...
  2. S

    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...
  3. L

    Wiki Changing diagnosis on denied lab tests

    Any help would be greatly appreciated. If a patient is seen and the provider orders 4 lab tests and documents 2 diagnosis for the visit. Lets say 2 of the labs pay and 2 deny due to non covered diagnosis. If the patient was previously seen (say with in the previous 30 days) and there is a...
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