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CodeMap® Compliance Briefing: 11/9/2012


Editor's Welcome:  

CMS issued its 2013 Medicare Physician Fee Schedule (PFS) Final Rule late last week. In the rule, they opted to place all of the new molecular test codes on the Medicare Clinical Laboratory Fee Schedule (CLFS) rather than the PFS, and if they proceed as previously indicated, they will use the gap-fill process to determine payment amounts for all of these new codes. In this process each Medicare contractor will independently determine a reimbursement value for each new 2013 molecular pathology code. After public comment, CMS will review these values and set a final value for 2014 based on the mean of all values. Today, we will discuss in detail these changes contained in the PFS.  As always, please send any comments....

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