Comparative Billing Reports

CBR201706 Recommended Links

Current LCD and LCA:

CGS Administrators: L36029, A54314
First Coast Service Options: L36393
National Government Services: L36037
Noridian Healthcare Solutions: L36668, L36707, A55001, A54998, A55030, A55031
Novitas Solutions: L35006
Palmetto GBA: L35724, A54799, A53953

Retired LCD and LCA:

CGS Administrators: A54315
National Government Services: A54681
Novitas Solutions: L32050
Palmetto GBA: L35105, A53952

Comprehensive Error Rate Testing (CERT) Reports: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/CERT/CERT-Reports.html

Medicare Fee-for-Service 2016 Improper Payments Report

Electronic Code of Federal Regulations (e-CFR): https://www.ecfr.gov/cgi-bin/ECFR?page=browse&wb48617274=DB1FF8EB

Title 42, Chapter IV - Section 410.32

Medicare Manuals: https://www.cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms.html

Medicare Benefit Policy Manual, Chapter 15, Section 80.6

Medicare Learning Network^® (MLN): https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-mln/mlnmattersarticles/index.html

“Provider Compliance Tips for Laboratory Tests – Other – Urine Drug Screening”

Medicare Administrative Contractors: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map/

Palmetto GBA: “2017 Controlled Substance Monitoring and Drugs of Abuse Coding and Billing Guidelines (M00128, V5)”

XIFIN Connected Health: https://www.xifin.com/

“CERT Urine Drug Testing Errors”

Reuters Health News: http://www.reuters.com/

“Exclusive: Medicare on Drugs: 24,000 Tests for 145 Patients”

Bloomberg BNA’s Health Care Fraud Report: https://www.bna.com

“How Urine Drug Testing Fraud and Abuse is Impacting the Treatment Community”

Office of Legislative Research (OLR):

“State Strategies for Addressing Prescription Drug Abuse”

Centers for Disease Control and Prevention: https://wwwn.cdc.gov/clia/Default.aspx

Clinical Laboratory Improvement Amendments (CLIA)

American Medical Association (AMA) Store: https://commerce.ama-assn.org/store/

CPT^®2016 Professional Edition
2016 Professional Edition HCPCS Level II

University of Connecticut:

For background on the statistical tests used in this CBR, the University of Connecticut provides resources for the t-test and the chi-square test at: http://researchbasics.education.uconn.edu/.

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