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Medicare Claims Processing Manual

Medicare Claims Processing Manual Chapter 16 - laboratory Services Table of Contents (Rev. 3942, 12-22-17) (Rev. 3875, 10-06-17) Transmittals for Chapter 16 10 - Background - Definitions - General Explanation of Payment 20 - Calculation of Payment Rates - Clinical laboratory Test Fee Schedules - Initial Development of laboratory Fee Schedules - Annual Fee Schedule Updates 30 - Special Payment Considerations - Mandatory Assignment for laboratory Tests - Rural Health Clinics - Deductible and Coinsurance Application for laboratory Tests - Method of Payment for Clinical laboratory Tests - Place of Service Variation - Payment for Review

"Hospital Outpatient” - See the Medicare Benefit Policy Manual, Chapter 2. “Referring laboratory” - A Medicare-approved laboratory that receives a specimen to be tested and that refers the specimen to another laboratory for performance of the laboratory test. “Reference laboratory” - A Medicare-enrolled laboratory that receives a specimen from another, referring

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