From time to time people ask me about the confusing combinations of PAMA rate cut rules, and I usually refer them to a pretty good table on the CMS website.
Today, I noticed it may be confusing.
PAMA law reset Medicare fee schedule prices to median survey-based prices, and reset the fee schedule by a new survey every three years. In the first three years, annual rate cuts year-to-year could not exceed 10%. As originally planned, in the second three years, annual rate cuts year-to-year could not exceed 15%. After that, new triennial fees would be implemented immediately without windows or brakes.
Here's the CMS table of the multiple fixes and changes that have occurred: