Laboratory Blood Counts: Provider Compliance Tips

February 28, 2019

In 2017, the Medicare fee-for-service improper payment rate for blood counts was 19.2 percent with projected inaccurate payments of $56.6 million. Improper payments resulted from:

  • Insufficient documentation – 89 percent
  • Incorrect coding – 8.3 percent
  • No documentation – 2.7 percent

Prevent denials by reviewing the Provider Compliance Tips for Laboratory Tests – Blood Counts Fact Sheet, which details coverage and documentation requirements.

Also, a revised Clinical Laboratory Fee Schedule Fact Sheet is available. Learn about:

  • Coverage requirements
  • How payments rates are set
  • Updates

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