How to deal with Clia-Waived UDS Reimbursement Changes

[pike73]

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We have been using clia-waived drug tests as a way to effectively screen patients and be reasonably reimbursed. Recently there has been a change in coding regarding billing for clia-waived tests with a change in G0431 and G0434. Given the costs of clia-waived test and the significant decrease in reimbursement how are others handling this? It seems that clia-waived testing in the office is no longer reasonable.

 

[Doctodd]

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[pmrmd]

medicare pays a nominal amount. the solution is to use a cheaper, medicare-specific cup with less panels. my medicare cup tests six things versus 11 and its like 5 bucks. the 11-panel cup is still used for private insurance. there is less meth, heroin, et al use in the senior population anyway so i am fine with this.

 

[joshmir]

Hi pmrmd

thanks for your post

Which cup do you reccomend for Medicare and which one do you reccomend for WC and privates?

this is out of curiosity; I am not in PP but we may adopt those choices

 

[Doctodd]

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[pmrmd]

Get in touch with your local Millenium Labs representative. They will get you the cheaper cup (6 panels) for medicare and the other cups for private insurance.

 

[nctxil]

How are you coding for non Medicare?
Can you still do 80101 x # of classes?

Millenium will sell you the multipanel cups, Ameritox won't.

 

[specepic]

Anyone have good/bad/other experiences with AIT?