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Billing under Lab Director

Apurva Posted Thu 31st of October, 2019 04:50:37 AM
When can a claim be billed under the medical director of the laboratory
SuperCoder Answered Fri 01st of November, 2019 06:22:28 AM

Hello Apurva,

Thank you for your question.

 

Under the following essential medical services, claim can be billed by medical director of the laboratory.

  • Assuring that tests, examinations, and procedures are properly performed, recorded and reported;
  • Interacting with members of the medical staff regarding issues of laboratory operations, quality, and test availability;
  • Designing protocols and establishing parameters for performance of clinical testing;
  • Recommending appropriate follow-up diagnostic tests, when appropriate;
  • Supervising laboratory technicians and advising technicians regarding aberrant results;
  • Selecting, evaluating, and validating test methodologies;
  • Directing, performing, and evaluating quality assurance and control procedures;
  • Evaluating clinical laboratory data and establishing a process for review of test results prior to issuance of patient reports

 

Hope that helps!

Thanks

Apurva Posted Tue 05th of November, 2019 05:10:19 AM
Thank You. Can we get a source document to refer to or is there any CMS link which provides the data on the same
SuperCoder Answered Wed 06th of November, 2019 05:17:39 AM

Hello Apurva,

Thank you for your additional query.

 

Please find under-mentioned links for your kind reference

http://www.dph.illinois.gov/sites/default/files/publications/clia-laboratory-directors-responsibilities-041316.pdf  Refer to Page-3

https://www.acponline.org/system/files/documents/running_practice/mle/clia-and-your-lab.pdf Refer to Page-55

https://documents.cap.org/documents/rc-pc-billing-information-package.pdf  Refer to Page-1

 

Hope that helps!

Thanks

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