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The test was reasonable and medically necessary for the treatment of an illness.The results of the test do not guide treatment provided during the hospital outpatient encounter and.It was medically appropriate to have collected the sample from the hospital outpatient during the hospital outpatient encounter.The specimen was collected from a hospital outpatient during an encounter (as both are defined in 42 CFR 410.2).The test was performed following a hospital outpatient’s discharge from the hospital outpatient department.
#DOS FIND FILES BY DATE RANGE CODE#
Specifically, under 42 CFR 414.510(b)(5), in the case of a molecular pathology test performed by a laboratory other than a blood bank or center, a test designated by CMS as an ADLT under paragraph (1) of the definition of an advanced diagnostic laboratory test in 42 CFR 414.502, a test that is a cancer-related protein-based MAAA, or the test described by CPT code 81490, the date of service of the test must be the date the test was performed only if: Additionally, in the CY 2021 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) final rule published December 29, 2020, CMS established another exception to laboratory DOS policy for tests that are cancer-related protein-based Multianalyte Assays with Algorithmic Analyses (MAAAs) or the test described by CPT code 81490. This exception to the laboratory DOS policy was effective beginning on January 1, 2018. In the CY 2018 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) final rule published December 14, 2017, CMS established another exception to laboratory DOS policy for Advanced Diagnostic Laboratory Tests (ADLTs) and molecular pathology tests excluded from OPPS packaging policy so that the DOS is the date the test was performed, if certain conditions are met. When the “14-day rule” applies, the DOS is the date the test is performed, instead of the date of specimen collection.
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I spent seven years writing breaking news for CNET as one of the site’s East Coast reporters. I've also written two books for Wiley & Sons- Windows 8: Five Minutes at a Time and Teach Yourself Visually LinkedIn.In general, the date of service (DOS) for clinical diagnostic laboratory tests is the date of specimen collection unless the physician orders the test at least 14 days following the patient’s discharge from the hospital. Beyond PCMag, I've written news stories and tutorials for a variety of other websites and publications, including CNET, ZDNet, TechRepublic, Macworld, Popular Science, Time, Fortune, US News & World Report, and AARP Magazine. I've been working for PCMag since early 2016 writing tutorials, how-to pieces, and other articles on consumer technology.
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How to Set Up Two-Factor Authentication.
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