[Histonet] problem with 88305 reimbursement

[Brendal Finlay]

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" <cpyse <@t> 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 cpyse <@t> x-celllab.com
> 
> 
> 
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