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- CAP talks with CMS about burdens in Medicare
CAP leadership met with officials from the Centers for Medicare and Medicaid Services (CMS) on Monday to discuss payment, regulatory burdens, and other topics concerning pathologists and labs.
Zoom in: The CAP previously outlined these issues in a letter to CMS Administrator Mehmet Oz, MD. The CAP had requested this meeting.
Discussion topics included:
- Medicare payment system: The CAP emphasized retaining CPT and RUC processes to leverage physician expertise in Medicare nomenclature.
- Surprise billing and price transparency: The CAP supports patient protection but acknowledges the challenges associated with out-of-network payment disputes and compliance with good faith estimates.
Next steps: The CAP continues to work with CMS, the administration, and Congress to advocate for our specialty, to ensure that pathologists have the necessary resources to improve laboratory quality, and to safeguard patient access to tests.