Webinar: PAMA Outreach Lab Reporting Requirement Update
Is Your Hospital Ready to Meet PAMA Outreach Lab Reporting Requirements?
Thursday, April 22, 2021 | 11:00am
Complimentary Webinar for MHA Members
On January 2, 2020, CMS announced that it has extended by one full year the reporting deadline for private payor rate data. The reporting, which is mandated by the Protecting Access to Medicare Act of 2014 (PAMA), requires physician clinics and hospital outreach laboratories that perform specimen-only lab testing on the 14x Type of Bill (TOP) to report their commercial payor payment rates for lab services by the end of March 2020 or potentially face fines of more than $10,000 per day. The 2019 Outpatient Prospective Payment System (OPPS) Final Rule expanded the reporting obligation to include hospital outreach laboratories that submit Medicare claims for non-patient services if the hospital meets the threshold of $12,500 in revenues paid by Medicare for services on the 014x TOB during the first six months of 2019. As reference in the first sentence above, the reporting deadline was extended one year so the next reporting period of January 1, 2022 through March 31, 2022, will be based on the original data collection period of January 1, 2019 through June 30, 2019.
Presenter:
Monica Lelevich, Director of Audits
PARA HealthCare Analytics, an HFRI Company
Sponsored by: