Friday, June 17, 2016

CMS Posts Final PAMA 216 Lab Pricing Regulations: With Some Key Links

On June 17, 2016, at 4 pm, CMS posted the final 245 page rule making for PAMA Section 216, the massive overhaul of laboratory test pricing.

The Federal Register publication dated June 23, 2016 is HERE.   81 Fed Reg 41036-41101.

Note that CMS also provided a complementary, ten page Q&A document, here.  The CMS webpage for PAMA 216 is here.
  • Detailed coverage at Genomeweb, June 20, here.
  • Excellent ten-page summary by the consultancy ADVI, here.
  • An excellent eight-page summary by the consultancy QUORUM is here.
  • McDermottPlusConsulting's 33-slide deck, here, and 7-page summary, here.
  • A summary by Mintz Levin, here.
  • My own comment which focuses on some "quirks" and "ins and outs" hidden in the rulemaking and its future implementation... here.
CMS published a "Medlearn Matters" 13 page document on lab enrollment and reporting in August 2016, online here. It gives examples for various combinations of CLIA license, NPI, TIN, etc.

Mini link for this blog page...