This product will give you access to the webinar only. If you would like continuing education credit for the webinar, see the table below to purchase the webinar + CME/CMLE. 


Description: On November 1, the Centers for Medicare and Medicaid Services (CMS) finalized proposed changes to the Physician Fee Schedule and Quality Payment Program for 2019. The final rule includes sections that will be effective on January 1, 2019, and directly address the Protecting Access to Medicare Act (PAMA) and the Clinical Lab Fee Schedule (CLFS). CMS revises the definition of “Applicable Laboratories,” by utilizing the CMS-1450 14x Type of Bill which is specific to hospital outreach laboratories. The use of this bill type will result in an increase in AMP member laboratories required to report private payer data to CMS. During this webinar, an overview of PAMA and the final rule changes will be provided. The webinar will also provide guidance on how to determine whether or not your laboratory qualifies as an applicable laboratory, timelines for collecting and reporting data, and resources available to assist laboratories through this process. During and after the webinar we encourage attendees to submit their questions. These questions and answers will be compiled into a document and will be available as a supplement to the archived version of this webinar.

Background: CMS released the final rule implementing the CLFS rate setting provision of Protecting Access to Medicare Act (PAMA) in June of 2016. Laboratories defined as “applicable laboratories” are required to report HCPCS laboratory codes, associated private payer rates, and volume data if they meet certain revenue thresholds from laboratory and physician services during a collection period. CMS takes the weighted median of the data submitted to determine the price for services on the Clinical Laboratory Fee Schedule (CLFS). To watch an archived webinar on the PAMA final rule, please visit (free to members and non-members): http://educate.amp.org/store/seminar/seminar.php?seminar=99261


Speakers: Erika Miller, JD, Senior Vice President and Counsel, CRD Associates, Consultant to AMP’s Economic Affairs Committee (EAC)

Moderator: Samuel K. Caughron, MD, Chair, AMP Economic Affairs Committee 

Duration: 1hr

Level of Instruction: Basic


Click on the links below to purchase continuing education credit.

Credit Type Number of Credit Hours Click on link to purchase:
CME/CMLE 1.0

Purchase Webinar + CME/CMLE

(Just $5.00 USD for AMP members)

Continuing Education Credit must be purchased and claimed by December 20, 2021
 

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Note: Members of AMP can access many of the webinars at no cost or a deep discount. Join the AMP Family!

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No digital files may be reproduced or transmitted in any form, by any means, electronic or mechanical. By purchasing a product, you agree to not share any of the course materials, including videos, downloadable slide presentations, outlines, manuscripts, etc. without explicit and written permission from AMP.

Course Information
Course Date:
December 20, 2018
Course Objectives
  • Explain the new, expanded definition of 'Applicable Laboratories' and provide guidance on determining whether your laboratory qualifies as an applicable laboratory.
  • Provide a brief background on PAMA and summarize the first data reporting and collection period.
  • Explain the timeline and process for the upcoming data reporting and submission.
  • Explain legislative efforts to revise the PAMA requirements and what potential changes mean for AMP members.
Revised PAMA Requirements: What Hospital Outreach Laboratories Need to Know to Comply
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