For the Week of April 14, 2014
I know that recent legislation included changes for the MPFS and ICD-10 but I have heard that there is information also related to lab. Can you provide this?
HR 4302, the legislation that included the delay of the ICD-10 implementation and other extensions, included several provisions related to laboratories. You can find the details of the following in Section 216 of the legislation.
- Repeal the authority of the Centers for Medicare & Medicaid Services (CMS) to make changes to the CLFS based on technological changes and implement a process to adjust reimbursement based on market rates.
- Require a clearly defined, transparent process for reconsideration of CLFS rates.
- Provide a per-test phase-in of reimbursement reductions.
- Create a payment adjuster for labs serving the most vulnerable Medicare beneficiaries.
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