MACRA Update: Embrace Help From MIPS Low-Volume Threshold Change

Small pathology practices find relief under QPP proposed rule. Maybe you’ve barely digested Medicare’s 2017 Quality Payment Program (QPP) final rule, but the 2018 proposed rule is [...]

Posted on: 8 August 2017 | 5:08 am

Reader Question: Spotlight Accurate Strep-Test Ordering Dx

Question: Our lab received an order for a strep test for a patient with “recent onset sore throat” to “rule out strep.” What ICD-10 code should we use? [...]

Posted on: 8 August 2017 | 5:08 am

You Be the Coder: Don't Lose Pay for 'Scant' Bone Marrow Aspirate

Question: Our pathologist examined a bone marrow aspirate and reported “scant cellular spicules.” However, the report also stated “erythroid cells, too few in number to assess dysplasia; blasts markedly decreased, with [...]

Posted on: 8 August 2017 | 5:08 am

News You Can Use: Anticipate MPFS Price Change for Your Pathology Services

Comment on CLFS revaluation process too. CMS recently released the proposed rule for the 2018 Medicare Physician Fee Schedule, and the word is that you should expect [...]

Posted on: 8 August 2017 | 5:08 am

Reader Question: Beware Unbundling 'Sample Validation'

Question: Can we bill together a urinalysis for pH and constituents (81001) and a urine drug test (80305)? Mississippi Subscriber Answer: You should be careful about [...]

Posted on: 8 August 2017 | 5:08 am

Hemicolectomy Evaluation: Parse Your Pathology and Lab Reports to Execute Correct Crohn's Coding

Look for specific diagnostic statement. If your lab encounters the following specimens and provides the following results, are you ready make the right call for procedure and [...]

Posted on: 8 August 2017 | 5:08 am

You Be the Coder: 'Exostosis' Definition Leads Code Choice

Question: The pathologist received a specimen from surgery for a heel bone spur. The lab processed the specimen in one cassette following decalcification. What is the correct specimen for “bone spur?”

Posted on: 11 July 2017 | 3:07 am

Reader Question: Look to Signs and Symptoms for Lab Tests

Question: When we get orders for a clinical lab test, can we use “symptoms” to assign the diagnosis code? Supercoder Subscriber Answer: Yes, when a physician [...]

Posted on: 11 July 2017 | 3:07 am

Reader Question: Focus Genetic Counseling Following Molecular Testing

Question: As a molecular pathology lab, can we provide a service for genetic counseling? If so, how should we code the procedure? Supercoder Subscriber Answer: [...]

Posted on: 11 July 2017 | 3:07 am

HIPAA: 3 Steps Keep BAA Compliance Costs Down

Get needed agreements on file in your lab. If one of your lab’s business associates (BA) is involved in a HIPAA breach, having an appropriate agreement in [...]

Posted on: 11 July 2017 | 3:07 am