Laboratory Question for the Week of July 22, 2019

Question:

What are labs required to provide for specific data reporting under PAMA?

Answer:

Under the Protecting Access to Medicare Act of 2014 (PAMA) the reporting entity is required to provide:

The applicable laboratory’s national provider identification (NPI)
HCPCS codes for the tests performed
Each private-payer rate for a specific HCPCS code
The volume paid at each specific rate for each specific HCPCS code for each laboratory test code that is subject to the data-collection and data-reporting requirements.

This question was answered in an edition of our Laboratory Compliance Manager. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Laboratory Question for the Week of July 22, 2019

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