New Medicare Lab Payment Rates

Share this story on:

Share on facebook
Share on twitter
Share on linkedin

“The CMS has finalized a rule under which it will begin paying the same as private insurance rates for clinical diagnostic laboratory tests…

“Medicare’s current fee schedule for lab tests has been in place since 1984 and has been largely unchanged, according to the agency…

Laboratories must collect private payer data from Jan 1, 2016 through June 30, 2016, with reports due to the CMS by March 31, 2017. The CMS will post the new Medicare rates by Nov. 1, 2017.

Hospital stakeholders were pleased with the final rule because the agency widened the base of labs—including some hospital labs—that will be analyzed for payment trends…

“‘Excluding hospital labs from the data also excludes innovative–and expensive–laboratory tests developed at academic medical centers,” said Michelle Cooper, senior vice president and corporate responsibility officer at Catholic Health Initiatives, the nation’s second-largest not-for-profit health system.

“’Including hospital-based labs will better reflect market trends and lead to more appropriate reimbursement,” Nickels said in a statement on the final rule.” Source:  Modern Healthcare

Teresa
Teresa

Recent Posts

Teresa

Humana Waives Some Copays

Humana is waiving member copays, co-insurance, and deductibles for in-network Primary Care, Behavioral Health, and Tele-Health visits for it’s Medicare Advantage customers.  This relief will

Read More »
Teresa

Humana Sues

“Humana filed suit Friday against more than a dozen generic drugmakers, including Teva Pharmaceutical, alleging the companies engage in price fixing. “In the 610-page complaint,

Read More »
Teresa

Canada Investigates

Health officials in London, Ontario, are investigating a case of vaping-related illness in a youth who suffered severe respiratory problems that have been linked to

Read More »
Teresa

Multi-Tasking or Focus?

“Given the importance of focus, it’s disheartening to find that like most of us, many of today’s business leaders and CEOs have fallen victim to

Read More »
Teresa

Indiana Leads

It was announced today that he and Mississippi Attorney General JimHood are leading a bipartisan coalition of 47 attorneys general callingupon Congress to authorize the

Read More »

copyright 2020 Evansville Insurance Center