HOSPITAL PATHOLOGY BILLING

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.

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: rcheadle@heartlandpath.com with questions regarding your invoice.


 PLEASE NOTE

*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


Medicare Information

 Heartland Pathology Letter to Hospitals

 FAQ provided by ACLA

 

 

 Heartland Pathology Consultants, PC
 3509 French Park Drive, Suite D
 Edmond, OK 73034

 Main Office        405.715.4500
 Main Office Fax 405.715.4519
 Billing Inquiries 405.705.0018  Fax 405.705.0029



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