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Are Commercial Payers Citing Proposed CMS Gapfill Rates, Trying to Negotiate Lower 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 this year for placement on the Clinical Laboratory Fee Schedule. The proposed prices cut payments to some tests as much as 85 percent from the […]

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 this year for placement on the Clinical Laboratory Fee Schedule. The proposed prices cut payments to some tests as much as 85 percent from the…

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