Medical Billing Forum
Billing => Billing => : midwifebiller March 03, 2010, 01:15:24 PM
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I need to talk with someone who knows the nitties and gritties of the CLIA requirements. Specifically, the difference between waived tests and PPM. Is anyone available??
Thanks.
Kelli
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No takers, yet. OK, here is a specific example.
A midwife needs to perform a glucose tolerance test (GTT) in her office to screen for gestational diabetes. She has a glucometer (FDA approved for home use), draws blood from a vein (not a finger stick) and performs the GTT per standard protocol. Is this a CLIA waived test or is does this test require a PPM certificate in order to send a claim to the insurance company?
[The uproar on the midwives' Yahoo group regarding this issue is quite impressive. I would like to be able to offer some documented assistance.]
Thank you!
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Kelli,
Look on the CMS website and enter the code and you can see if it is a CLIA waived test :)