Billing Beat

CMS physician fee schedule: Will hospital labs be excluded again from PAMA price reporting?

September 6, 2018

IN A PROPOSED RULE ISSUED JULY 12, the federal Centers for Medicare and Medicaid Services continued to push an interpretation of the Protecting Access to Medicare Act of 2014 (PAMA) that will reduce still further what CMS pays for clinical laboratory tests.  CMS once again said that it interprets PAMA in a way that excludes hospital laboratories and hospital outreach laboratories.  On the other hand, the rule could expand the number of labs that need to report data under PAMA by adding more independent labs and physicians’ office labs.

Source: https://www.darkintelligencegroup.com/tdr-insider/cms-physician-fee-schedule-will-hospital-labs-excluded-pama-price-reporting/?mqsc=E3978307&utm_source=WhatCountsEmail&utm_medium=Dark_Report_FullTDR%20Insider%20Non%20Paid%20Subscriber&utm_campaign=TDR%20Insider%20July%2030%202018

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