|From:||"Weems, Joyce" |
Sorry to confuse the issue. This is a letter that was sent to one of our reference labs by their billing consultant or expert or some such thing.
As you know, Dennis Padget is an expert on CPT coding so I am sure of what he says. If I understand correctly, the grandfathering clause means that if you were using the reference lab on Jan 1, 2001, you can continue to use them and they can bill your technical charges. Otherwise you will bill the patient from your hospital and then reimburse the reference lab.
I haven't looked at the web site, but perhaps it will explain further. Hope this clears things a little bit. j
Saint Joseph’s Hospital of Atlanta
404-851-7831 - fax
From: Weems, Joyce
Sent: Monday, January 13, 2003 6:48 PM
Subject: Billing for technical charges
My recent answer to this question from one of our reference labs.
CLIENT SERVICE BULLETIN
The Centers for Medicare & Medicaid Services (CMS) issued a
Program Memorandum (AB-02-177) Friday which appears to extend the BIPA-2000
Section 542 "grandfather" exception to
CMS achieved the extension by using its emergency administrative
authority to change the "discard date" of the original Program
Memorandum (AB-01-047) to
I will alert you immediately should I find out anything that suggests we cannot take CMS at its word that the "grandfather" exception has indeed been extended beyond this year-end. Otherwise, you can "breathe easy" and continue to bill Medicare Part B in 2003 for the technical component of anatomic pathology services for inpatients and outpatients of qualifying hospitals served by your laboratory.
Dennis L. Padget, CPA, FHFMA
Padget & Associates