Is it a skilled nursing facility? If a patient is in an SNF (for rehab or other reasons) then Medicare will not pay. The testing facility has to contract with the SNF for payment. I have not seen this with a hospital, though.
Brendal Finlay, HT (ASCP) On Jan 29, 2013, at 12:51 PM, "Cynthia Pyse" <cp...@x-celllab.com> wrote: > Hi Histonetters > > We are currently having a problem with our Medicare reimbursement on the > tech component of the 88305. If the patient has been seen at a hospital, > either in-patient or out- patient, we are told by Medicare that we have to > contract with that hospital to bill for the 88305. The biopsy was not done > at the hospital but in a doctor's office. According to Medicare if there the > same date of service it can only be billed through the hospital. Medicare is > calling it consolidated billing. I can't see how the hospital can bill for > something that was done in the doctor's office then sent to an independent > lab. Is anyone else having this problem? How are you handling it with > Medicare? Any help would be appreciated. Thanks in advance > > Cindy > > > > > > Cindy Pyse, CLT, HT (ASCP) > > Laboratory Manager > > X-Cell Laboratories > > 20 Northpointe Parkway Suite 100 > > Amherst, NY 14228 > > 716-250-9235 etx. 232 > > e-mail cp...@x-celllab.com > > > > _______________________________________________ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet