Toxicology reimbursement depends more on how definitive drug testing is ordered and documented than on any other part of the lab claim. Presumptive screens are simple to bill and pay modestly, while confirmatory testing carries most of the revenue and nearly all of the audit risk. Whether you run a reference lab or a point-of-care […]
Posts tagged "Toxicology Billing"
How Does Medicare Reimbursement Work for Toxicology Testing?

Let’s talk about getting reimbursed by Medicare for toxicology tests, those tests that check for drugs or other harmful substances in someone’s body. It can be a confusing process with lots of rules and hoops to jump through. I’m going to break it down simply so you know what to expect. Medicare Coverage for Toxicology […]
Advanced Beneficiary Notice, Medicare Coverage for Toxicology Tests, Medicare Reimbursement, Toxicology BillingWhich CPT Codes are Used in Toxicology Lab Billing?

The urine drug screen CPT codes most labs and practices bill are 80305, 80306 and 80307, and the right one depends on how the screen is read rather than how many drugs it covers. All three are presumptive codes, which means they identify possible drug use and are billed once per date of service. Older […]
CPT Codes, Toxicology Billing, Toxicology CPT Codes, Toxicology Laboratory BillingHow Does Outsourcing Toxicology Billing Maximize Revenue Collection?

Outsourcing toxicology billing can help labs maximize revenue collection. As a supplier of toxicology testing, you’re well aware that medical billing for toxicology laboratory work is highly detailed and undergoes frequent and often unpredictable changes. Further muddying the waters, lab testing work is an area of attention and scrutiny by agents for the Office of […]
Billing Revenue, Outsourced Toxicology Billing, Revenue Cycle, Toxicology Billing, Toxicology Lab Billing