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The page below is a sample from the LabCE course Medicare Compliance for Clinical Laboratories. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Medicare Compliance for Clinical Laboratories (online CE course)
Billing

  • Billing is the highest risk area for the laboratory because it generates the claims that are sent to Medicare and other government payers.
  • Payment and payment errors are the focus of the OIG compliance guidance for the laboratory because of the revenue involved.
  • Fraud and abuse is often perpetrated as a billing scheme.
  • Nearly all laboratory functions can affect the billing of laboratory tests.