CodeMap®  150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019
2018

ASC Fee Schedule

2019
2018

APC Codes

2019
2018

DRG Codes

2019
2018

ASP Drug Pricing Files

January 2019
October 2018


CMS Transmittals




FRIDAY COMPLIANCE BRIEFING: 12/6/2002

EDITOR'S WELCOME

This week we will focus on a recent CMS Program Memorandum (PM) explaining the implementation of the 2003 Laboratory Fee Schedule. In the PM, CMS provides important new guidance on exactly how Medicare carriers should set reimbursement amounts for gap-filled tests. These new rules should force Medicare carriers to rely on facts rather than arbitrary assumptions as has happened in the past. Remember, we rely on your comments and questions for topics of future Friday Compliance Briefings, so feel free to foward any ideas and/or concerns.

Sincerely,

Charles B. Root, Ph.D.

BACKGROUND: CROSSWALKING AND GAP-FILLING

When new CPT codes are added to the Medicare Laboratory Fee Schedule, reimbursement amounts are developed using one of two methods, either crosswalking or gap-filling. If another code already exists that is sufficiently similar to the new code in terms of test cost, technology, and clinical use, CMS determines the payment amount by crosswalking the code. This means the new code....

Sorry, the full document you are trying to access requires an active subscription.

Please login to the left.


Click here for publications catalog.

--

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.