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Communicable Disease Services Billing Changes

In response to our clients' requests for increased billing capacity, the Oregon State Public Health Laboratory (OSPHL) has contracted with a new billing vendor to bill for communicable disease testing.

By increasing our billing capacity, we are better securing the financial future of the public health lab to support essential public health functions. This means we will be more likely to continue offering high quality service to our clients.


Overview

Beginning December 1, 2014, the Oregon State Public Health Laboratory (OSPHL) will begin requiring payer source information on test request forms submitted to the OSPHL. With these changes, the test request forms used by locations receiving no-cost gonorrhea and Chlamydia tests (STD Program, formerly IPP) will also change.

Because only the laboratory that performs the testing may bill Oregon Medicaid for the testing, the OSPHL will require that Oregon Medicaid or CCO information for all patients with this coverage be included with the specimen, unless that client is seeking confidential services due to extenuating circumstances. In addition, the OSPHL is requesting that private insurer information be provided with the specimen if your organization is not billing the private insurer for the laboratory testing. ​


Trainings

To fully support and describe these changes, the OSPHL is offered a series of webinars from November 13, 2014 through December 1, 2014. Two different webinars were offered. Recorded webinars and presentation slides are posted for you to view at your convenience.

Training tailored for clinic or laboratory staff:
 Recorded webinar for clinic and laboratory staff - recorded from the November 25 training session
 
 
Training tailored for billing or accounts payable staff:
 Recorded webinar for billing or accounts payable staff - recorded from the November 19 training
 
 

Resources

OSPHL Billing Changes Frequently Asked Questions (FAQ) (updated December 3, 2014)

Virology/Immunology Test Request Form - Required Fields Cheat Sheet

Microbiology Test Request Form - Required Fields Cheat Sheet

Current OSPHL Submitter Fee Schedule 


Updates

Letter: OSPHL Billing Changes and Training Announcement, October 29, 2014 (pdf)

Letter: OSPHL Billing Changes, October 10, 2014 (pdf)

Letter: OSPHL Billing Changes, August 26, 2014 (pdf)


Questions

If your questions have not been answered by viewing the training materials and Letters above, please contact Sarah Humphrey, OSPHL Client Services Coordinator at 503-693-4100 or sarah.m.humphrey@state.or.us.