Billing Beat

Next CLFS Data Reporting Period for Clinical Diagnostic Laboratory Tests

March 7, 2022

The revisions to the reporting period are:

  • We’ll base the next data reporting period of January 1, 2023, through March 31, 2023, on the original data collection period of January 1, 2019, through June 30, 2019. After the next data reporting period, there’s a 3-year data reporting cycle for CDLTs that aren’t ADLTs (2026, 2029, and so on).
  • We extended the statutory phase-in of payment reductions resulting from private payor rate implementation through Calendar Year (CY) 2025. There’s a 0.0% reduction for CY 2021 and CY 2022, and we won’t reduce payment by more than 15% for CYs 2023-2025.

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