New Lab Date of Service Billing Requirements: Strategies for Success - On-Demand

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New Lab Date of Service Billing Requirements: Strategies for Success - On-Demand

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New Lab Date of Service Billing Requirements: Strategies for Success - On-Demand

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Available ON-DEMAND

Presented on:
Monday, March 18, 2019 

Presented by:
Valerie Rinkle, MPA

The 2018 OPPS final rule finalized an additional exception to the clinical laboratory date of service (DOS) policy that has created extra billing and implementation challenges. The exception changes the DOS for advanced diagnostic laboratory tests (ADLT) and molecular pathology tests excluded from the OPPS packaging policy to the date the test was performed instead of the date of specimen collection. Because of this, facilities must deploy new billing processes specifically for these tests, thus reducing their ability to streamline billing practices for inpatient and outpatient testing.

Provider feedback led CMS to delay enforcement of the provision until July 1, 2019; however, it is critical for hospitals and laboratories to confront operational and contractual challenges in order to comply with the new policy by the revised enforcement deadline.

During this 90-minute webinar, expert Valerie Rinkle, MPA, will provide an overview of the changes to the DOS policy and details on how it applies to specific lab tests; she will then walk attendees through options and strategies to address billing and other operational challenges related to the policy. This program will also address lab test tracking methods, considerations for “under arrangement” contracts with performing labs, and contractual provisions to negotiate in order to mitigate financial risk.

At the conclusion of this program, participants will be able to:

  • Explain the changes to the clinical laboratory date of service (DOS) policy
  • Describe the reason the change is applicable to the outpatient but not the inpatient setting
  • Develop changes to billing processes associated with the new DOS policy
    • Track information on any future delays or changes by CMS


  • Explanation of clinical laboratory date of service (DOS) policies
    • General overview of policies for inpatient and outpatient tests
      • Tests on stored specimens and tests up to 14 days following inpatient discharge
      • Outpatient molecular pathology tests
      • Advanced diagnostic laboratory tests
    • Background regarding reasoning behind policy requirements
    • Discussion of enforcement dates
  • Implications of the DOS rule
    • Difference between inpatient and outpatient laboratory billing under the new policy
  • Context of the new rule
    • Impact on laboratory billing
    • Tracking inpatient and outpatient tests
  • Operational challenges associated with the rule
    • Reference lab contracting issues for implementing required changes
    • Contracting with the performing lab
  • Case studies
    • Tissue versus blood-based samples


Who Should Listen?

  • Revenue cycle directors, managers, and staff
  • Revenue integrity directors, managers, and staff
  • HIM directors, managers, and staff
  • Compliance officers and professionals
  • Laboratory directors, managers, and staff
  • Billing directors, managers, and staff
  • Finance directors, managers, and staff

Meet the Speaker

Valerie Rinkle
Valerie A. Rinkle, MPA,
is a lead regulatory specialist and an instructor for HCPro's Medicare Boot Camp®—Revenue Integrity and Chargemaster Version, Medicare Boot Camp®—Utilization Review Version, and Medicare Boot Camp®—Hospital Version. Rinkle is a former hospital revenue cycle director and has over 30 years in the healthcare industry, including over 12 years of consulting experience in which she has spoken and advised on effective operational solutions for compliance with Medicare coverage, payment, and coding regulations.

Continuing Education

This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Ability to claim credits for this webinar expires on: 3/17/2020

(Live + On-Demand) This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Ability to claim credits for this webinar expires on: 03/17/2020

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Ability to claim credits for this webinar expires on: 03/17/2020


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.