HCPro, JustCoding Outpatient - 2016 Issue 27 (July)
CMS eases provider burden, reporting requirements in CLFS final rule
July 19th, 2016
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Article Overview
This article explains CMS’s final rule for the Clinical Laboratory Fee Schedule and how it changes payment updates, laboratory reporting expectations, and administrative requirements beginning in 2018. It is aimed at providers, laboratories, and coding or reimbursement professionals who need to understand the scope of the policy changes, reporting timelines, and CMS’s approach to new and existing laboratory tests.
Why This Topic Matters
The rule affects how laboratory test payments are determined and which entities must report private payer information to CMS. It also introduces operational changes that can affect compliance, data submission planning, and payment forecasting for laboratories and provider organizations.
What You Will Learn
- How CMS updated its Clinical Laboratory Fee Schedule payment approach
- Which laboratories are subject to reporting requirements
- What types of information must be reported to CMS
- How CMS addresses new laboratory tests and future payment updates
- What administrative and compliance changes accompany the final rule
Who Should Read This
- Laboratory billing staff
- Coding professionals
- Reimbursement analysts
- Compliance officers
- Physician practice administrators
- Hospital laboratory leaders
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