Billing Beat

Independent Laboratory Billing for Pathology Services

October 25, 2012

Effective for dates of service on and after January 1, 2013, the Agency will discontinue separate payment to independent laboratories for the technical component of pathology services. The Agency expects independent laboratories to bill hospitals for the technical component of anatomic pathology services furnished to hospital inpatient and outpatient clients.  To prevent duplicate payment, the Agency will not pay independent laboratories, if they bill Medicaid for these services.

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