Diagnostics: Payment Rates

CMS Releases CY 2019 CLFS Payment Rates

CMS has released the final CY 2019 payment rates for clinical diagnostic services along with supporting instructional materials.

POST

• CLFS /
• CMS /
• Diagnostics /
• Fee Schedule /
• Laboratory /
• Medica /
• PAMA

Diagnostics: Payment Rates

Medicare Laboratory Tests: Implementation of New Rates May Lead to Billions in Excess Payments

EXTERNAL LINK

• CMS /
• GAO /
• Laboratory /
• Medicare

Diagnostics: Payment Rates

CMS Releases 2019 Preliminary CLFS Payment Determinations

CMS releases CY 2019 preliminary recommendations for codes reviewed during summer the 2018 Lab Public Meeting.

EXTERNAL LINK

• CLFS /
• preliminary determination

Diagnostics: Payment Rates

CMS Posts Preliminary Gapfill Pricing Determinations

CMS Posts Preliminary Gapfill Pricing Determinations

EXTERNAL LINK

• Gapfill /
• Pricing Determination

Diagnostics: Payment Rates

CMS releases list of lab codes for review at Annual CLFS Public Meeting

PDF DOWNLOAD

• Public Meeting

Diagnostics: Payment Rates

CMS announces meeting of Advisory Panel on Clinical Diagnostic Tests

PDF DOWNLOAD

• Public Meeting

Diagnostics: Payment Rates

CMS announces Annual CLFS Public Meeting, June 25, 2018

PDF DOWNLOAD

• Advisory Panel /
• Public Meeting

Diagnostics: Payment Rates

CMS Releases Final CY 2018 CLFS Payment Rates

Zip file available for download.

EXTERNAL LINK

• Final Rates

Diagnostics: Payment Rates

CMS releases Panel recommendations from September 25, 2017 meeting

PDF DOWNLOAD

• Advisory Panel

Diagnostics: Payment Rates

CMS Releases Preliminary PAMA Based Payment Rates

EXTERNAL LINK

• Lab Reimbursement /
• Preliminary Rates

Diagnostics: Payment Rates , Regulation

CMS Releases Agenda for September 25 virtual meeting of Advisory Panel.

CMS Releases Agenda for September 25 virtual meeting of Advisory Panel.

PDF DOWNLOAD

• Advisory Panel /
• Public Meeting

Diagnostics: Payment Rates

CMS Announces Virtual Meeting of CDLT Advisory Panel

PDF DOWNLOAD

• Advisory Panel /
• Public Meeting

Diagnostics: Payment Rates

CLFS Public Meeting

PDF DOWNLOAD

• Advisory Panel /
• Public Meeting

Diagnostics: Payment Rates

CDLT Advisory Panel Meeting

PDF DOWNLOAD

• Advisory Panel /
• Public Meeting

Diagnostics: Payment Rates

CLFS User guide

PDF DOWNLOAD

• Lab Reporting

Diagnostics: Payment Rates

CMS MLN Matters: FISS Implementation of the Restructured Clinical Lab Fee Schedule

PDF DOWNLOAD

Diagnostics: Payment Rates

CMS Released Preliminary Crosswalk and Gapfill determinations for CY 2017

PDF DOWNLOAD

• FY2017 /
• Gapfill /
• Preliminary Rates

Diagnostics: Payment Rates

September 12th Clinical Diagnostic Laboratory Test Advisory Panel Meeting

September 12th Clinical Diagnostic Laboratory Test Advisory Panel Meeting

POST

• Advisory Panel /
• CY2016 /
• Public Meeting

Diagnostics: Payment Rates

New and substantially revised test codes to be priced under the (nonPAMA) CLFS beginning January 1, 2017

EXTERNAL LINK

• Advisory Panel /
• FY2017 /
• Public Meeting

Diagnostics: Payment Rates

Medicare Will Use Private Payor Prices to Set Payment Rates for Clinical Diagnostic Laboratory Tests Starting in 2018

EXTERNAL LINK

• Lab Reporting