Independent clinical laboratory

This is a central location for independent clinical laboratory information, including CMS resources.

Spotlight

CLIA information

The clinical laboratory improvement amendments (CLIA) regulate laboratory testing and require clinical laboratories to be certified by CMS. Comprehensive informaton is avilable on the CLIA page on CMS.gov.

Enrolling

The following resources support enrollment activities for independent clinical laboratories:

LCD/NCD - policy information

Not all codes have a policy associated with them. Novitas will consider reasonable and necessary services for payment in the absence of an LCD, billing and coding article, NCD or CMS manual instruction that limits coverage.

LCDs

Learn more about the local coverage determination (LCD) development process through the following:

Search for clinical laboratory-elated LCDs using these available resources:

NCDs

Search for clinical laboratory-related national coverage determinations (NCDs) using these available tools:

Medical documentation

For a claim to be valid, documentation must demonstrate compliance with all applicable coverage, coding and billing requirements and substantiate the level of care billed. The following resources are specific to this specialty, but may not address all required medical documentation requirements:

Claims submission and reimbursement

Education

Resources

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