Medicare Part B Clinical Laboratory Fee Schedule: Revised Information for Laboratories on Collecting and Reporting Data for the Private Payor Rate-Based Payment System

Published 12/27/2023

Make sure your staff knows about: clarifications for deciding whether a hospital outreach laboratory meets the requirements to be an 'applicable laboratory'; applicable information (private payor rate data) that you must collect and report; the entity responsible for reporting applicable information; the data collection and reporting periods; information about our online data collection system; CMS' schedule for implementing the next private payor-rate based Clinical Laboratory Fee Schedule (CLFS) update; and information about the condensed data reporting option for reporting entities.


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