Did You Catch the (Free) PAMA Webinar?

In its January edition of e-Policy, ASCP reported that the Centers for Medicare and Medicaid Services (CMS) was gearing up for the second round of clinical laboratory data reporting. Per Section 216 of the Protecting Access to Medicare Act (PAMA), applicable clinical laboratories are required to report payment and volume data on the clinical laboratory tests they perform that are reimbursed by private payers. CMS’s Calendar Year (CY) 2019 Physician Fee Schedule Final Rule changed the definition of an applicable laboratory. One of the changes CMS adopted is that hospital outreach laboratories that bill for their non-patient laboratory services using the hospital's national provider identifier (NPI) must use Medicare revenues from the Form CMS-1450 14x Type of Bill to determine whether they meet the majority of Medicare revenues threshold and low expenditure threshold. The new reporting requirements are expected to require more clinical laboratories, particularly hospital laboratories with more than $12,500 in Medicare outreach revenues from laboratory services reimbursed under the Clinical Laboratory Fee Schedule (CLFS), to submit payer data to CMS.

To help educate clinical laboratories about important changes affecting laboratory reporting requirements, CMS held a webinar on Jan. 22. While the webinar is now over, CMS has posted the slides, audio recording and transcript on its website for those interested in learning more.

Other articles in ePolicy News February 2019

ASCP Urges CMS to Reconsider NGS NCD

ASCP to Conduct 2019 Wage Survey

To read more articles from ePolicy News click here.

For more information regarding ASCP's advocacy initiatives and policy positions, please contact ASCP's Center for Public Policy at (202) 408-1110.



ASCP ePolicy News is supported by an unrestricted grant from Hologic.