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CodeMap® 08/09/2022: New Bill Would Delay & Reduce Medicare CLFS Cuts

CodeMap® Compliance Briefing: August 9, 2022


Editor's Welcome:

Since the 2018 Medicare Clinical Laboratory Fee Schedule, clinical laboratories have suffered significant cuts to Medicare reimbursement rates due to the Protecting Access to Medicare Act of 2014 (PAMA). In addition, since many private payers base their payment rates on Medicare, PAMA has indirectly impacted private payment rates as well. Hopefully, laboratories may soon see some relief from these downward pressures on revenue. Today, our friends at Laboratory Economics discuss recent legislation and ongoing litigation that may reduce the negative impacts of PAMA felt by clinical laboratories over recent years. As always, please send your comments, suggestions, and questions to us via email.

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