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Laboratory Fee Schedule

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CMS Transmittals




CodeMap® Compliance Briefing: November 9, 2018


Editor's Welcome:  Pursuant to the Protecting Access to Medicare Act of 2014 (PAMA), CMS must collect private payer payment data from clinical laboratories every 3 years. The first data collection resulted in significant cuts to the 2018 Medicare Clinical Laboratory Fee Schedule (CLFS). The second collection will begin next year. Applicable laboratories must report payment data from the first six months of 2019 during the next data reporting period, which is January 1st through March 31st of 2020. That data will form the basis of Medicare reimbursement amounts included in the 2021 CLFS.

During the first data collection, CMS was heavily criticized for only collecting payment data from a limited number of clinical laboratories. In particular, ....

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