CMS has released the CY 2021 proposed Physician Fee Schedule (PFS). This proposed rule includes policies for payment to physicians as well as Medicare Part B policies. Comments on the proposed rule are due on October 5, 2020. CMS Likely to Finalize Medicare Physician Fee Schedule Provisions in December Typically, CMS releases its Medicare Physician [...] Read More
Late Friday evening, the Centers for Medicare & Medicaid Services (CMS) released their long-awaited preliminary private rate-based clinical laboratory fee schedule rates. These rates begin to implement section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA) by establishing new clinical laboratory fee schedule (CLFS) payment rates for diagnostic tests paid by Medicare […]
Read MoreOn July 31 and August 1, CMS held its Annual Laboratory Public Meeting to hear public consultation on coding and payment for new and reconsidered clinical diagnostic laboratory tests. For two days, the Advisory Panel heard and discussed presentations justifying crosswalked and gap-filled prices for new and reconsidered laboratory tests. Echoing the concerns of stakeholders […]
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