2018 Medicare Laboratory Fee Schedule (MLFS)

Which Medicare MAC has the best laboratory reimbursement?

Apache Health often gets questions about which locality or which Medicare region (MAC) has the best reimbursement rates.  Even a number of years ago some labs sought to locate in favorable reimbursement locations in order to maximize their reimbursement.  None of that matters any longer. 

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Do Outsourced Medical billing Companies Really Deliver?

­Medical billing, like many industries, has had its share of debate over the merits of outsourcing the work.  Some providers have experienced sub-par medical billing companies that only go after the low hanging fruit, while others have found that outsourcing has saved their practice and they will never go inhouse again.

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Palmetto GBA awarded MAC J

On September 7, 2017, CMS awarded Palmetto GBA a new contract to administer the claims processing for Medicare for Part A and Part B for MAC Jurisdiction J.  This is a one year guaranteed contract with up to four additional one year extensions.

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Do Laboratory Billing Services Really Deliver?

Medical billing, like many industries, has had its share of debate over the merits of outsourcing the work.  Some laboratories have experienced sub-par medical billing companies that only go after the low hanging fruit, while others have found that outsourcing has saved their laboratory and they will never go inhouse again.

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2017 Toxicology Laboratory Billing

It seems that toxicology billing is not going to get any simpler.  Already this year, the CMS has reversed themselves for the second year in a row. The qualitative codes G0477, G0478, G0479 were deleted, after being introduced in 2016.  Those codes were replaced with 80305-80307.  These new codes were essentially the same as the old ones, other than the addition of a few more methods of instrumented chemistry analysis. CMS also eliminated the separate validity testing codes 84311, 83986, 82570, the functions of which were rolled up under other existing codes.

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