Clinical Diagnostic Laboratories to Collect and Report Private Payor Rates Call —January 22

The Centers for Medicare & Medicaid (CMS) will be having a call on January 22 from 1:00 PM to 2:00 PM CST to discuss the new requirements for hospital outreach laboratories to collect and submit private payer data for the Clinical Laboratory Fee Schedule. Information and registration about this call can be found below.

In the 2019 physician fee schedule final rule (see pages 59672-59676 of the November 23, 2018 Federal Register), CMS made an important change to the Clinical Laboratory Fee Schedule (CLFS) that will require many hospitals to report private payer rates for CLFS services. If a hospital bills Medicare on a 14x type of bill (TOB) for more than $12,500 in CLFS services for the January 1, 2019 through June 30, 2019 period, the hospital will be required to collect data on private payer prices and the volume of laboratory services paid at that price for the same period of time.

Register for this MLN Learning Network event.