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Laboratory Compliance Question of the Week

August 4, 2008

Question:

What is happening regarding independent labs and the billing of the technical component (TC) of pathology services? I know that something was supposed to change about this policy on June 31. Did it?

Answer:

On July 16, Congress passed the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008. This legislation (HR 6331) brings welcomed news to laboratories, including the reinstatement of the moratorium that allows independent laboratories to bill for the TC of physician pathology services furnished to hospital patients. For details, see Transmittal 1561 at http://www.cms.hhs.gov/transmittals/downloads/R1561CP.pdf and provider-information memo MM6042 at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6042.pdf.





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