tci Medicare Compliance & Reimbursement - 2005 Issue 18

LABS: Stay Atop MSP Rules, Avoid Medicare's Doghouse

MSP modifications could bring big changes.The last thing a lab needs is to be singled out by the Centers for Medicare and Medicaid Services for sloppy Medicare secondary payer (MSP) collection practices. The Medicare Modernization Act (MMA) changed the rules for what labs must collect, but the new guidance doesn't affect face-to-face encounters, such as when a client shows up for her thyroid screen.Before labs launch into a service, they must determine whether the patient has an insurance option outside of Medicare, says Lisa Lounsbury, a data analyst with the Vascular Diagnostics Laboratory at Fletcher Allen Health...

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