Could your laboratory benefit from the realization of additional Medicare reimbursement dollars? Are you aware that a simple electrophoretic assay such as Immunofixation can bring as much as $52.71 per test into your lab?
Do you remember electrophoresis testing as being difficult and time-consuming? Well, things have certainly changed and Sebia offers a walk-away electrophoresis instrument as a solution for your laboratory. Because the HYDRASYS requires minimal attention and maximum timesavings, your laboratory can perform electrophoresis testing in-house and gain or maintain reimbursement dollars!
Medicare reimburses most laboratory services individually as identified by the appropriate CPT code. Laboratory tests are billed directly to Medicare by the laboratory or physician performing the test.
Pathologists or other qualified physicians are also reimbursed by Medicare for the interpretation of specific electrophoretic assays. A -26 modifier, placed after the assay's CPT code, is used to indicate and bill for an electrophoretic interpretation service. Reimbursement ranges for a physician interpretation are from $16.60 to $21.50 depending on the geographic location of the provider.
Are you familiar with current Medicare Reimbursement amounts for the most common electrophoretic assays plus professional interpretation? Please refer to the following table; you may be surprised!
||CPT Code: Assay
||National Mode: Reimbursement
||CPT Code: Assay + Interpretation
||Total Reimbursement Range
||$31.61 - $36.51
||$47-81 - $52.71
||$34.59 - $39.49
||$32.33 - $37.23
Please take a look at a couple examples of organizations that put their creative minds together to increase the level of patient care and hospital profits...
Memorial Hospital in Chattanooga, Tennessee.
Central Pennsylvania Alliance Laboratories in York, Pennsylvania.
The table below represents a laboratory in Los Angeles, CA currently sending out electrophoresis testing. Additional projected revenue of $14,419 annually could be realized if protein electrophoresis and immunofixation was brought back into the laboratory with the use of walk-away instrumentation!
|Protein Electrophoresis tests sent out
|Immunofixation tests sent out
|Current send out cost
|Projected Annual Costs
|Projected Annual Reimbursement
Are you interested in learning how additional Medicare reimbursement dollars can impact your laboratory? Please contact us and state that you have viewed the reimbursement information on this website. You will be contacted and will receive a customized report to include Projected Annual Revenue for your laboratory with various options concerning instrumentation.