Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 50.3.1

Hospital-Leased Laboratories

Last amended: 2003Year: 2003Length: 133 wordsOfficial source
50.3.1 - Hospital-Leased Laboratories (Rev. 1, 10-01-03) B3-4110.1 A/B MACs (B) process claims from hospital laboratories that are leased by physicians and independent laboratories. Before processing claims for services furnished by a hospital laboratory department operated on a lease or concession basis by a pathologist or by a nonphysician specialist such as a biochemist (with a visiting pathologist or outside independent laboratory doing the hospital’s tissue work), A/B MACs (B) must ascertain if the laboratory has been approved by the RO. Services furnished by a laboratory that does not meet the hospital laboratory conditions of participation and is operated under a lease arrangement in a domestic emergency hospital are covered only if they are emergency inpatient services payable under Part A. Additional information concerning nonparticipating emergency hospital services is found in Chapter 3.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 50.3.1: Hospital-Leased Laboratories | Justis AI