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 of Laboratory Test Results by Physician 40 - Billing for Clinical Laboratory Tests - Laboratories Billing for Referred Tests - Claims Information and Claims Forms and Formats - Paper claim Submission to A/B MACs (B) - Electronic claim Submission to A/B MACs (B) - Payment Limit for Purchased Services - Hospital Billing Under Part B - Critical Access Hospital (CAH)

110.4 - A/B MAC (B) Contacts With Independent Clinical Laboratories 120- Clinical Laboratory Services Based on the Negotiated Rulemaking 120.1 - Negotiated Rulemaking Implementation 120.2 - Implementation and Updates of Negotiated National Coverage Determinations (NCDs) or Clinical Diagnostic Laboratory Services

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