Blog Posts by Date: Apr 2013


UPDATED: Comparison Chart Reveals Only Slight Gains in Revised MoPath Fees

  • April 23, 2013

While the MACs have made upward revisions to some prices, MoPath tests overall are still priced well below last year’s reimbursement. The revised average is $206.77, up just a smidge from the original 2013 average of $194.22, but still a far cry from 2012 average of $517.04. April Dark Report Reveals MoPath Reimbursement Issue Still Hot...

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CGS Takes Palmetto's Lead on New Prices

  • April 16, 2013

In a move that should not surprise molecular diagnostic labs, Cigna Government Services, the Medicare Contractor for Ohio and Kentucky has updated their fee schedule to match the new prices released by Palmetto 2 weeks ago. After receiving gapfill analysis information from both CCLA members and other independent labs that (coordinated through...

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Palmetto Increases Fees For Higher Volume Tier 1 Codes

  • April 4, 2013

CPT Name Palmetto Old Palmetto New Coverage Increase Amt % Increase 81210 BRAF 57.51 $97.45 Y $39.94 69% 81225 Cyp2c19 135.26 $319.12...

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Both CMS and MACs Remain Silent on Molecular Pathology Code Pricing

  • April 2, 2013

The deadline for Medicare Contractors to submit their fee schedules to CMS came and went with no updates provided by any of the contractors on what was ultimately submitted. Palmetto, which is driving nationwide pricing for the MoPath codes, had committed to a transparent process in the pricing and in some cases re-pricing of these new codes as a...

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