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首页> 外文期刊>Clinical Chemistry: Journal of the American Association for Clinical Chemists >Medicare coding and reimbursement for clinical laboratory services
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Medicare coding and reimbursement for clinical laboratory services

机译：用于临床实验室服务的Medicare编码和报销

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Medicare will continue to increase its efforts to cut spending through aggressive review of claims and the use of new fraud and abuse regulations. Providers must be especially careful to provide correct procedure codes that define precisely what services have been provided and accurate diagnosis codes that link those procedures or tests to an appropriate diagnosis. Medicare reimbursement rules for clinical laboratory procedures are explained, including the proper use of procedure and diagnosis codes. Coding and payment for new automated test panels are discussed, as well as the economic consequences of using smaller panels. Medicare coverage requirements, including medical necessity, are described, as well as the proper use of advance beneficiary notices and the Medicare appeals process.
机译：Medicare将继续通过积极审查索赔以及使用新的欺诈和滥用法规来加大削减开支的力度。提供者必须特别小心，以提供正确的过程代码以准确定义已提供的服务，并提供准确的诊断代码以将这些过程或测试链接到适当的诊断。解释了临床实验室程序的Medicare报销规则，包括程序的正确使用和诊断代码。讨论了新自动测试面板的编码和付款，以及使用较小面板的经济后果。描述了Medicare承保范围要求，包括医疗必要性，以及适当使用预先受益人通知和Medicare上诉程序。

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