Tagged with CLFS Clinical Lab Fee Schedule

Clinical Laboratory Data Reporting Delayed

CMS issued a notice stating that Clinical Diagnostic Laboratory Tests (CDLTs) that are not Advanced Diagnostic Laboratory Tests (ADLTs), private payor data reporting will be delayed by one year. CDLT data that was supposed to be reported between January 1, 2020, and March 31, 2020, will now be reported between January 1, 2021, and March 31, 2021.

CMS Finalizes 2019 Medicare Clinical Lab Payment Determinations

CMS has released its final 2019 Medicare clinical laboratory fee schedule (CLFS) payment determinations for new and reconsidered clinical lab test codes. Specifically, CMS finalized the basis for establishing the payment rate (crosswalking or gapfilling), along with the agency’s rationale for the decision.

CMS Delays Reporting Deadline for Medicare Clinical Laboratory Fee Schedule (CLFS)

CMS has announced a deadline postponement for certain laboratories to report private payer data for the new laboratory fee schedule. CMS stated the deadline was moved to May 30 due to industry feedback which suggested that many reporting entities would not be able to submit a complete set of applicable information by the initial March 31 deadline.