In Billing
Feb 9th, 2018
Final payment rates, codes, and supporting documentation for the new private payer rate-based Clinical Laboratory Fee Schedule (CLFS) payment system, effective Jan. 1, 2018, are available. What’s Behind the New Payment System? Beginning Jan. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) changed the way it sets payment rates for clinical diagnostic laboratory ...
In Billing
Dec 20th, 2016
In accordance with Protecting Access to Medicare Act of 2014 (PAMA), and to promote patient safety and public health, the Centers for Medicare & Medicaid Services (CMS) created modifier CT Computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association (NEMA) XR-29-2013 standard) to discourage ...
Do you think you don’t have to worry about PAMA because you are a physician clinic? You may be wrong, and this assumption could cost you big bucks. Background Section 216 of the “Protecting Access to Medicare Act of 2014” (PAMA) requires the Centers for Medicare and Medicaid Services (CMS) to change how it pays ...