Client Contracts

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The page below is a sample from the LabCE course Medicare Compliance for Clinical Laboratories (retired 2/17/2021). Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Client Contracts

A laboratory that receives referrals from a nursing home or skilled nursing facility (SNF) should have a written agreement with that facility:
  • The agreement should define billing and documentation responsibilities.
  • The facility should be responsible for determining the payment status of its patients and is liable for submitting incorrect payment information to the laboratory.
  • Fees should be consistent with other similar customers.
A laboratory that provides services to a home health agency treating Medicare/Medicaid beneficiaries should have a written agreement with that agency:
  • The agreement should define billing and documentation responsibilities.
  • The agreement should place the responsibility on the home health agency to establish that all patients receiving laboratory services are "homebound" as defined by Medicare.
  • Fees should be consistent with other similar customers.