Laboratory Coding & Billing Reviews
You want to be certain that the payments you receive today will not be lost to a payer audit tomorrow. Panacea can help you achieve that confidence. It all begins with correct CPT code assignment and line item accuracy of the chargemaster.
Our chargemaster review process correlates CPT/HCPCS and revenue code mapping to line item descriptions. It also includes:
- Review of modifier
- Analysis of charge amounts for identification of charges that are set below Medicare reimbursement rates
- Validation of blood-product-specific HCPCS
Beyond the clinical laboratory, our review of pathology services focuses on coding and billing guidelines related to hospital and physician billing of pathology services, identifying risk areas as indicated by the NCCI policy narratives for CCI edits and MUE limitations.