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- A1c- I do not understand when those get reported. Do they have to be reported at the time we are billing for the A1C lab test? Can it be reported on the claim that is billed when the patient comes back to see the provider and they go over the lab results? IF they can, I know that the actual dos must be reported with CPT II code and if the labs were a week prior to the appointment then is that actual lab draw date billed on the claim with the E/M code? Something I read about HEDIS stated the date of the A1c and the date the value is reported cannot be greater than 7 days to qualify; does that sound right?
- IF the A1c is reported for a patient that does not have Diabetes, does that matter? In our office, it’s difficult for employees to remember to sort for criteria so it’s easier to tell the nurses to report all A1c values for any Medicare and Medicare advantage member.