PAMA

OIG Surveys How CMS is Doing on PAMA Implementation

With D-day set for Jan. 1, 2018 for implementation of a new payment methodology for lab services under the Protecting Access to Medicare Act of 2014 (PAMA), the Office of Inspector General (OIG) just … [Read more...]

CMS

PAMA Update: CMS Guidance and Reporting Information Trickles In

The Centers for Medicare & Medicaid Services (CMS) promised more details would be coming once it released the final rule implementing the Protecting Access to Medicare Act of 2014 (PAMA) this past … [Read more...]

PATIENT SAFETY

CMS Pushes Cuts in HAIs, Promotes Antibiotic Stewardship

As part of a comprehensive push to improve patient safety through a reduction in hospital-acquired infections (HAIs), the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule this … [Read more...]

FEE SCHEDULES

Are Commercial Payers Using Proposed CMS Gapfill Rates to Ratchet Down Reimbursement?

During the summer, the Centers for Medicare & Medicaid Services (CMS) published proposed interim gapfill prices for 15 molecular tests. The agency said it would likely publish final prices later … [Read more...]

FEE SCHEDULES

CMS Proposes Pathology, Cytology Cuts for 2017 Physician Fee Schedule

CPT Code 88305 is headed to the chopping block again. The Centers for Medicare & Medicaid Services (CMS) has suggested cutting the technical component of 88305—a tissue examination and a primary … [Read more...]

PAMA

The PAMA Snag: Many Hospital Labs May Not Be Able to Participate in Reporting

When the Centers for Medicare & Medicaid Services (CMS) announced in mid-June the final rules governing the Protecting the Access to Medicare Act (PAMA), it drew praise from several groups that … [Read more...]

CMS

CMS Report to Congress Cites Program Integrity for $42 Billion in Savings, $12.40 ROI

In a new report to Congress, the Centers for Medicare & Medicaid Services states the Program Integrity activities have saved Medicare and Medicaid $42 billion during Fiscal Years 2013 and 2014 … [Read more...]

CMS

Program Integrity Saves Medicare $42 Billion

By Kelly Hardy Briganti, Editorial Director, G2 Intelligence In a new report to Congress, the Centers for Medicare & Medicaid Services reports the Program Integrity activities have saved Medicare … [Read more...]

REIMBURSEMENT

CMS Issues Final PAMA Rule, Delaying Implementation of New Rates to 2018

After much lobbying and debate from stakeholders in the laboratory industry, the Centers for Medicare & Medicaid Services (CMS) released its final rule implementing the Protecting Access to … [Read more...]

REIMBURSEMENT

Final PAMA Rule Released, Implementation Delayed to 2018

By Kelly A. Briganti, Editorial Director, G2 Intelligence After much lobbying, debate and delay, the Centers for Medicare & Medicaid Services (CMS) final rule implementing the Protecting Access … [Read more...]


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