Billing Beat

CY 2018 CLFS – Final Payment Rates and Crosswalking/Gapfilling Determinations

November 27, 2017

CMS has published the final payment rates and supporting documentation for the new private payor rate-based CLFS payment system. CMS also published final CY 2018 Clinical Lab Fee Schedule (CLFS) determinations on gapfilling and/or crosswalking methodologies for new laboratory tests and laboratory tests with no reported private payor rate information. The new private payor rate-based CLFS will go into effect on January 1, 2018.

Source: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/PAMA-Regulations.html

Sign up for Billing Beat