Laboratory Question for the Week of July 4, 2016

Laboratory Compliance Question of the Week

Question:

What is the effective date of the new laboratory payment system?

Answer:

Beginning January 1, 2018—instead of the initially planned 2017, the Centers for Medicare & Medicaid Services (CMS) will begin to use private-payer prices to set rates for clinical diagnostic laboratory tests (CDLTs) paid under the Clinical Laboratory Fee Schedule (CLFS). CMS issued the final rule on this on June 17, 2016. Before that, clinical diagnostic laboratories will be required to report the amounts paid by private insurers, and Medicare will use these private insurer rates to calculate Medicare payment rates for laboratory tests.

 

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Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.