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Ask the Expert
Adapting to an Ever-Changing Lab Test-Scape
By Barry Craig
The landscape for lab testing is changing and we must be
able to adapt or go up in a puff of smoke! All is not
doom and gloom, we can prevail. they only care if the test is being performed correctly.
You must have a CLIA license and any state required
license (if applicable) to perform even one test.
Here are some tips related to testing, billing, etc. I must be billing the right code for my lab
testing because I am getting paid for it.
Just because insurance is paying you, does not mean you
are billing the correct codes, it just means you haven’t got
caught or audited yet. If you face an audit, they can take
back the incorrect payment revenue. Double check your
Do I need a CLIA license if I perform a lab test
even if I’m not billing for it?
YES. Billing or not billing for a test has nothing to do
with compliance. CLIA does not care if you get paid,
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