Billing for Patient Tests and Services

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

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Billing for Patient Tests and Services

  • Only those tests or services that were actually performed may be billed.
  • It is against the law to bill for the same tests or services twice (duplicate billing).
  • It is against the law to bill for quality control tests or tests performed multiple times to check or verify the results.
  • When the orders for a test or service are not absolutely clear, the department must contact the ordering physician to clarify the orders before performing and billing for the test or service. Do not attempt to guess what the order is.