During
the Review of the Laboratory Department’s
Charge Master, we will verify the accuracy
of CPT Codes, Revenue Center Codes, Descriptions,
and Modifiers. Additionally, we will validate
the accuracy of “panels”, address
bundling and unbundling issues, verify the
need for charge explosions, as well as meet
with the Laboratory Director to determine that
appropriate line item selection processes are
followed. We will also review a sample of medical
records, UB-04s, and detail bills, to insure
that the items selected are appropriately listed
in medical records, and that they are also
billed appropriately. All other aspects of
our Charge Master Reviews follow compliance
guidelines, including the final report.
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