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There are five newly-added waived complexity tests under the Clinical Laboratory Improvements Amendments of 1988 (CLIA). These tests go into effect Oct. 1 and will be implemented by Medicare Administrative Contractors by Oct. 5. CLIA regulations require a facility to be certified for each test performed. To ensure that Medicare and Medicaid only pay for […]
The post New CLIA Waived Tests Effective October 1, 2020 appeared first on AAPC Knowledge Center.
Source: New Waived Tests
The CPT® codes that are considered a laboratory test under the Clinical Laboratory Improvement Amendments (CLIA) change each year, as well as throughout the year, making it difficult for healthcare providers and laboratories to keep up. Here are the CPT codes for 2019 that are subject to or excluded from CLIA edits in easy-to-look up […]
The post 2019 Codes Subject to or Excluded from CLIA Edits appeared first on AAPC Knowledge Center.
The Centers for Medicare & Medicaid Services (CMS) is proposing to change the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for 2020 and it could affect a medical group or facility’s bottom line. CLIA Analyte Additions The notice of proposed rulemaking includes the addition and deletion of analytes – or the components being studied – […]
The post Big CLIA Changes Proposed for 2020 appeared first on AAPC Knowledge Center.
Clinical Laboratory Improvement Amendments (CLIA) fees are being increased for the first time in 20 years, according to a holiday week notice from the Centers for Medicare & Medicaid Services (CMS). CLIA Fees Based on 1992 CMS wants a 20 percent increase for laboratories seeking a CLIA certificate. The agency explained that the program and […]
The post CLIA Fees Increase 20 Percent appeared first on AAPC Knowledge Center.
The HCPCS Level II code G0475 HIV antigen/antibody, combination assay, screening is effective for dates of service on or after April 13, 2015, and is subject to Clinical Laboratory Improvement Amendments (CLIA) edits, despite its omission in previous transmittals from the Centers for Medicare & Medicaid Services (CMS). For Medicare reimbursement, G0475 requires a facility to have either a […]
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