HomeLatest NewsFederal NewsMedicare Clinical Laboratory Fee Schedule Private Payor Data Reporting – Delayed until...

Medicare Clinical Laboratory Fee Schedule Private Payor Data Reporting – Delayed until 2023

On December 10, the Centers for Medicare and Medicaid Services announced the Protecting Medicare and American Farmers from Sequester Cuts Act delayed the Clinical Laboratory Fee Schedule private payor reporting requirement:
  • Next data reporting period is January 1 – March 31, 2023
  • Reporting is based on the original data collection period, January 1 – June 30, 2019

The Act also extended the statutory phase-in of payment reductions resulting from private payor rate implementation:

  • No payment reductions for Calendar Years (CYs) 2021 and 2022
  • Payment won’t be reduced by more than 15% for CYs 2023 through 2025

Visit the PAMA Regulations webpage for more information on what data you need to collect and how to report it.

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