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Laboratory Fee Schedule

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CMS Transmittals




CodeMap® Compliance Briefing: May 29, 2015


Editor's Welcome:  As previously reported, CMS chose to gap-fill the payment amounts for new Tier 1 gene assays and Next Generation Sequencing (NGS) procedures listed on the 2015 Medicare Clinical Laboratory Fee Schedule. The gap-fill protocol requires CMS to publish preliminary amounts paid by their contractors by the end of April. These eagerly awaited preliminary amounts were finally published this week. However, CMS' latest publication is disappointing because they chose to only release payment amounts for 10 of the 30 codes. Beyond that, for those 10 codes with payment information, in most cases only some of the contractors (MACs) reported an amount. Despite the limited information, we are forwarding what we do know in the following CodeMap® Compliance Briefing. It looks like we will have to wait until September when the final payment amounts....

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