Understanding UHC’s lab test registry
Beginning Oct. 1, United Healthcare (UHC) will require labs to provide unique test codes on claims for in-scope services. In order to comply, lab providers must register their lab tests BEFORE Sept. 1, 2020. Lab test codes must be on claims for in-scope lab test...
Cigna to cease payment for 88305 prostate biopsies
In a recent letter to providers, Cigna announced it will no longer reimburse prostate needle biopsies billed with CPT 88305 beginning Aug. 18. Instead, claims on or after that date must be submitted with HCPCS code G0416, one unit, to be eligible for payment. This...
FAQs about COVID-19 Testing
As the COVID-19 pandemic continues, we have multiple inquires per day from individuals contemplating starting a COVID-19 testing lab or considering adding this line of testing to their existing lab. Outlined below are the most frequently asked questions....
Coding and billing COVID-19: A step-by-step guide
As CMS and the AMA continue to develop new codes for performing and billing COVID-19 testing, we will work to update you with the latest information to ensure you’re being reimbursed properly during the ongoing public health emergency. RELATED: Covid Testing and...