On February 17, 2012, Congress voted to discontinue direct Medicare payments for the technical component (TC) of pathology services provided to inpatient and outpatients after June 30, 2012.
HOSPITAL PATHOLOGY BILLING
Pathologists’ that provide pathology services to a hospital’s patients for dates of service after June 30, 2012 will be required to bill the hospital. This ruling only applies to the TC of pathology services paid on the Medicare physician fee for service fee schedule. It does not apply to beneficiaries enrolled in any other health care program.
The Hospital may then bill Medicare for outpatient pathology services.
CPT codes for billing are provided on every Pathology Report.
HPC will provide a monthly invoice including the patient name, date of service, referring physician, and CPT codes.
Invoices will be sent on or before the 10th of each month.
Please contact our Billing Supervisor Rosie Cheadle by telephone: 405.705.2644 or
E-mail: firstname.lastname@example.org with questions regarding your invoice.
*Blue Cross Blue Shield began following same guidelines as Medicare June 2016.
Blue Cross Notice to Hospitals June 2016
Heartland Letter to Hospital Sept 2016
Blue Cross FAQ sheet 2016
Heartland Pathology Letter to Hospitals
FAQ provided by ACLA