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Next Webinar 06/23/2021:
2021 Regulatory Update: Hospital Outreach Programs

CodeMap® 12/30/2020: 2021 CLFS and Gap-Filling

CodeMap® Compliance Briefing: 12/30/2020


Editor's Welcome:  

For 2021, CMS has chosen to use gap-filling to price an unusually large number of new tests on the Medicare Clinical Laboratory Fee Schedule (CLFS). The final pricing determination includes 53 gap-filled tests, representing 40% of all new tests, including most of the new COVID-19 antigen and antibody tests. Today, we will revisit how gap-filling works and the inherent processes and timelines. As always, please send your questions, comments, and suggestions for future CodeMap® Compliance Briefings to us via email. Happy New Year.

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* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.



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