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Pass-through billing - Ch.10, 2022 Administrative Guide

    https://www.uhcprovider.com/en/admin-guides/administrative-guides-manuals-2022/ch10-claims-process-2022/pass-bill-clia-reqreimb-pol-ch10-guide.html
    All other laboratory tests require a referral to a participating or capitated laboratory. You can find a list of approved codes on cms.gov > Regulations & Guidance > Legislation > Clinical Laboratory Improvement Amendments. Participating laboratories are listed on …

Pass-through Devices - JE Part B - Noridian

    https://med.noridianmedicare.com/web/jeb/specialties/asc/pass-through-devices

    CRSToday | J-Codes and Pass-Through Status

      https://crstoday.com/articles/feb-2021/j-codes-and-pass-through-status
      When pass-through status is granted for a product, CMS designates a Healthcare Common Procedure Coding System (HCPCS) code, which must be used for billing and to obtain reimbursement. …

    List of Device Category Codes for Present or Previous …

      https://www.hhs.gov/guidance/document/list-device-category-codes-present-or-previous-pass-through-payment-and-related
      This document provides a complete list of the device category HCPCS codes used presently or previously for pass-through payment, along with their expiration …

    CMS Manual System - Centers for Medicare

      https://www.cms.gov/files/document/r11150cp.pdf
      3. Device Pass-Through Category Codes. Effective January 1, 2022, the complete list of device pass-through category codes and the explanations of certain terms/definitions …

    Pass-Through Payment Status and New Technology …

      https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/passthrough_payment
      OPPS Pass-through and New Technology Ambulatory Payment Classification (APC) Assignment Under the Hospital Outpatient Prospective Payment System (OPPS) …

    Pass-Through Billing | Blue Cross and Blue Shield of Texas

      https://www.bcbstx.com/provider/claims/claims-eligibility/submit/pass-through-billing
      Pharmacy Program Standards and Requirements Pass-Through Billing Pass-through billing occurs when the ordering physician, professional provider, facility, or ancillary …

    Why Pass Through Billing is Unethical? How to Avoid it?

      https://sybridmd.com/blogs/medical-billing/how-to-avoid-pass-through-billing-traps/
      Pass through billing occurs between a reference laboratory and a physician practice that enables the physician practice to send specimens to the reference laboratory for testing, pay directly to the …

    - Find-A-Code Medical Coding and Billing Articles

      https://www.findacode.com/articles/pass-through-payments-how-they-work-and-device-category-codes-list-31597.html
      - Find-A-Code Medical Coding and Billing Articles Home Info Newsletters FAC Articles viewing Sun Feb 12, 2023 Find-A-Code Articles, Published 1969, December 31 by Dec …

    What Does the New Pass-Through Payment Mean …

      https://www.asge.org/docs/default-source/default-document-library/new-pass-through-code--final.pdf
      pass-through code. 1) How should ERCP services using a single-use duodenoscope be reported? Procedure Code + Device HCPCS + Device Revenue Code (ERCP Code) …



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