Palmetto Says New MoPath Reimbursement Rates Will Be Posted April 1

Palmetto asked CCLA to aggregate data required for palmetto to perform a true gap fill analysis. CCLA members plus some additional molecular labs provided data to Palmetto over the last three weeks. Due to the limited timeframes, only the highest volume molecular tests were the subject of the exercise (EGFR, KRAS, BRAF, CYP2C9, CYP2C19, CYP2D6). The MAC contractors, including Palmetto, have until March 31 to submit their 2013 fee schedules to CMS. CMS must post them by April 30 which will then kick off a formal 60 day comment period. Many laboratories and associations like CCLA have already begun the process of appealing the already released prices and seeking justification for the rationale behind them. Officials at Palmetto have stated that the new reimbursement rates will be posted on Monday April 1st.