CMS Lessens Lab Test Cuts, Finalizes Revaluation Proposal In Physician Fee Schedule
This article was originally published in The Pink Sheet Daily
In the final 2014 physician fee schedule rule, CMS scaled back cuts to independent labs from 26 percent to 5 percent. But it moved ahead with its proposal to update individual lab payments based on technological changes, a move that might lead to reductions over the long term.
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CMS’ plans to cut reimbursement to independent labs by 26 percent next year, largely based on a policy to cap at outpatient rates, and to perform a wholesale review and revision of physician fee schedule laboratory payments in the longer term were met with resistance by ACLA, AdvaMed and other industry stakeholders.
CMS is proposing a comprehensive review process to ensure test payments account for changes in technology. The effort would likely lead to pay reductions in many instances to address new efficiencies in the lab. In addition, double-digit cuts in lab payments are proposed in the agency’s 2014 physician fee schedule draft.