The Allina Health Laboratory Consult Center, together with our Hospital Pathology Associates (HPA) partners, facilitates the transfer of pathology materials between Allina Health and other health care entities.Expedient and efficient sharing of these materials for either second opinions, or additional testing (i.e. genetic testing, etc.), ensures the continuum of quality patient care needed for both determination of diagnosis and optimum treatment options for our patients.
The following information is provided by CMS:
Date of service policy
In general, the date of service (DOS) for clinical diagnostic laboratory tests is the date of specimen collection, unless the physician orders the test at least 14 days following the patient’s discharge from the hospital. When the “14-day rule” applies, the DOS is the date the test is performed, rather than the date of specimen collection.
In the CY 2018 Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) final rule published December 14, 2017, CMS established another exception to laboratory DOS policy for Advanced Diagnostic Laboratory Tests (ADLTs) and molecular pathology tests excluded from OPPS packaging policy so that the DOS is the date the test was performed, if certain conditions are met. This new exception to the laboratory DOS policy is effective beginning on January 1, 2018. Specifically, in the case of a molecular pathology test or an ADLT that meets the criteria of section 1834A(d)(5)(A) of the Social Security Act, the date of service must be the date the test was performed only if the following conditions are met:
If all of the above requirements are met, the DOS of the test must be the date the test was performed.