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Medicare Reimbursement Manual For Laboratory & Pathology Services 2009
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Preview this report's Table of Contents and Introduction.

The new edition of Washington G-2 Reports’ highly-respected annual Medicare Reimbursement Manual is now available and, as always, features reliable, accurate data arranged conveniently in a user-friendly format.

Described for many years as “an indispensable financial tool for hospitals, independent labs, pathology practices, medical groups and physician office labs,” it’s a must-have reference report for lab and pathology professionals.

Fully updated, the 2009 edition provides you with the information you need to calculate and forecast your Medicare revenue, facilitate the submission of Medicare claims, and get the full allowable Medicare payment—plus the latest policy updates for 2009, and more.

As always, the Manual features regional fees, allowing you to compare and analyze them across geographic areas, and also covers:

For Clinical Lab Services

  • Local fee schedule & national payment caps in CPT 80000 Series 7
  • Lab payment data for all 10 HHS regions & local areas on CD
  • Medicare data for most frequently performed lab tests
  • Coding & policy changes for all lab tests


For Pathology Services

  • Revised RVU pathology payments by Medicare Locality on CD
  • Legislative actions affecting physician fees
  • Analysis of high-volume pathology procedures
  • Latest regulatory developments for physicians

This year’s update to the Medicare Part B clinical laboratory fee schedule, recently released by The Centers for Medicare and Medicaid Services, reflects a 4.5 percent increase granted by Congress. It’s the first increase allowed since 2004.
Changes for 2009 include:

  • new codes (and national fee caps) in chemistry, hematology and coagulation, microbiology, and for vivo lab procedures;
  • an increase in the national minimum payment amount for certain cervical or vaginal smear codes;
  • adjustments in the per-mile and flat rate travel allowance for codes used to bill for collecting specimens from nursing home and homebound beneficiaries


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