CQW Panacea-re-brand-rev3

Laboratory

For the Week of April 14, 2014

Question:

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?

Answer:

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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