CMS Will Give Labs More Time to Report PAMA-Required Payor Data

Posted on by Drea

March 30, 2017

GenomeWeb – staff reporter

he Centers for Medicare & Medicaid Services has agreed to “exercise enforcement discretion” for 60 days, giving laboratories some more time to report private payor pricing data required under the Protecting Access to Medicare Act (PAMA).

The American Clinical Laboratory Association last week asked CMS to delay implementation of PAMA for another year. PAMA, which was originally slated to take effect this year, will retire the current system by which Medicare pays for lab tests, relying on Medicare contractors to “crosswalk” or “gapfill” pricing, and begin paying for tests base on private payor rates.

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