2015 Annual Training Conference & Anti-Fraud Expo

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Urine Drug Screens: CPT Coding Update (Room Gaslamp A-D)

18 Nov 15

9:15 AM - 10:15 AM

Tracks: Clinical Issues for the Health Care Fraud Investigator

Speaker(s): Carl Reinhardt, AHFI, CPC, Manager, Anthem Medicaid Special Investigations Unit, Anthem, Inc.; Janet Bonham, AHFI, Senior Investigator, Anthem, Inc.; Priscilla Alfaro, MD, Medical Director, Anthem, Inc.

This workshop will look at the morphing of urine drug screens from 80101/80104 to the quantitative testing of the urine specimen. Faculty will examine the specific level of test and the required laboratory equipment and reagents required to perform that level of testing. The presenters will explain and define the terms used in the laboratory process and their significance to the investigation, and explain the 2014 & 2015 CPT coding for UDT and the significance of the changes. This session uses current case examples, investigative steps, and shared experiences so that an experience investigator can replicate the process in their own SIU.

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