The Medicare Payment Scheme Has Shifted

Law360, New York (January 3, 2014, 2:54 PM EST) -- On Dec. 10, 2013, the Centers for Medicare & Medicaid Services published final rules regarding the 2014 Medicare Physician Fee Schedule (“2014 PFS Final Rule”) and the 2014 Medicare Hospital Outpatient Prospective Payment System (“2014 HOPPS Final Rule”). Each of these final rules make significant changes in how clinical laboratory tests and pathology services will be reimbursed under Medicare. The changes took effect on Jan. 1, 2014.

In the 2014 PFS Final Rule, CMS made a fundamental change to the Medicare Clinical Laboratory Fee Schedule (“CLFS”)...
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