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  4. Data Reporting for Medicare Clinical Laboratory Fee Schedule Delayed until 2023

On December 10 the Protecting Medicare and American Farmers from Sequester Cuts Act delayed the clinical laboratory fee schedule private payor reporting requirement until 2023. The new CMS clinical laboratory fee schedule data reporting period will be January 1 – March 31, 2023 and will be based on the original data collection period, January 1 – June 30, 2019.

The law also extended the statutory phase-in of payment reductions, which meant there will be no payment reductions for services on the clinical laboratory fee schedule in 2021 or 2022, and payments won’t be reduced by more than 15% for 2023 through 2025.

Visit the PAMA Regulations webpage for more information.

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