Part of providing the best medical laboratory services includes USC
Endocrine Laboratories’ ability to handle our
concerns regarding billing. The following information is
to alleviate our clients’ concerns as well as to further
the needed information in ensuring that the billing process goes
smoothly and accurately.
Several billing options are available to our clients. Our
may select either doctor/client billing (billing to a healthcare
provider, group practice), direct patient billing to a home address, or
third party billing (billing to insurance companies, HMO, independent
An itemized statement will be mailed to our clients monthly.
statement will include the patient’s name, test(s) performed
the dates of service. Payment is due upon receipt. USC
Laboratories request that clients notify the Billing Department within
5 days of receipt of any errors to prevent delays in
It is important to include the client’s account number on all
correspondence and payments. Alternatively, please include
remittance copy of the invoice when making payments.
For this option, it is extremely important that the correct name, SSN,
IDC-10 code(s), current mailing address, and day and evening phone
numbers be printed clearly on the requisition form. Providing
this information will avoid time-consuming follow-up with the
client’s office from the USC Endocrine Billing
The invoice that the patient receives may be used for obtaining
reimbursement from their insurance carriers. USC Endocrine Laboratories
ask that the client inform the patient that he/she will be receiving a
separate bill from the laboratory.
As a courtesy to our clients and patients, USC Endocrine Laboratories
will bill the patient’s insurance carrier through an outside
billing agency. The carriers include commercial insurance
companies, HMO’s and other managed care programs.
addition to the information needed for the patient billing option, it
is very important that the subscriber/responsible party’s
and SS# be printed accurately. In order to ensure accuracy,
please attach a photocopy of the front and back of the
insurance identification card. The patient will be
for non-covered services and deductibles depending on the type of
coverage. It is the patient’s responsibility to
funds from their insurance company. Please note that the
will continue to get a bill from USC Endocrine Laboratories for as long
as the insurance carriers do not settle the claim. USC Endocrine
Laboratories request that clients remind patients to assist in this
process by contacting their insurance carriers.
USC Endocrine Laboratories will bill Medicare and Medi-Cal for all
covered services. A photocopy of the front and back of the
Medicare card and/or the current Medi-Cal plastic identification card
or eligibility verification slip must be attached to the requisition
form to facilitate billing.
required for all services that may not be covered by both of these
government agencies on an Advance Beneficiary Notice (ABN) form.
WE DO NOT ACCEPT OUT OF STATE MEDICAID.
ICD-10 (DIAGNOSIS CODE)
Most insurance carriers require a written diagnosis or ICD-10 code(s)
before claims are processed. In order to avoid delays in
submitting/processing claims, it is critical that the most appropriate
dignosis/ICD-10 code be printed on the requisition form.
Incomplete or erroneous diagnoses or diagnoses associated with annual
or routine physical examinations may result in services not covered by
the Medicare program. Likewise, almost all insurance
will not pay for claims without diagnosis / ICD-10 codes.
as with any other insurance billing, the patient is ultimately
responsible for services provided.
October 13, 1994, the Office of
Inspector General of the United
States Department of Health and Human Services issued a Fraud
Alert. This document states that the
free or discounted laboratory testing for health care providers, their
families, and their employees…” is in violation of
Medicare/Medicaid anti-kickback statute.
Laboratories DOES NOT provide “free
discounted testings” to our clients, their families, or their
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