The deck is in the cloud, here.
The executive summary is here:
- Awareness that CMS lab fee schedules exceeded US market prices led to PAMA §216 in April 2015.
- In a massive undertaking, laboratories will report all payer prices for all tests. The medians will establish new triennial CMS fee schedules.
- CMS released its implementation plans on 9/25/2015, and comment is open until 11/24/2015.
The outline for the flow of the deck is here:
Which Labs Will Report?
What Will They Report?
Tests
Catchment Period
Reporting Period
What Happens Next?
Median Calculation
3 Year Repeat
Special Rules?
What are ADLTs? How They Report?
New Tests?
Advisory Board?
View or download the deck here.
