This product includes the webinar and CME/CMLE credit

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):

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

Last day to purchase course and claim credit: December 20, 2021

Maximum CME/CMLE credit available: 1.0

How to claim credit: To earn CME/CMLE credit, all learners must watch the webinar and then complete the online survey. To access the online survey, click "Submit credit" on the course homepage, or click on "My Credit" on the menu to the left.

AMA PRA Category 1 Credit(s)™

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of American Society for Clinical Pathology (ASCP) and Association for Molecular Pathology (AMP). The American Society for Clinical Pathology (ASCP) is accredited by the ACCME to provide continuing medical education for physicians.

The ASCP designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

This continuing medical laboratory education activity is recognized by the American Society for Clinical Pathology for 1.0 hours of CMLE credit. ASCP CMLE credit hours are acceptable for the ASCP Board of Certification (BOC) Certification Maintenance Program (CMP). CMLE credit hours meet the continuing education requirements for the ASCP Board of Certification Credential Maintenance Program (CMP) and state relicensure requirements for laboratory personnel. Participants should claim only the credit commensurate with the extent of their participation in the activity. 

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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
Individual topic purchase: Selected
American Medical Association
Continuing Medical Education: 1.00
American Society for Clinical Pathology
CMLE: 1.00
AMP Regular Member: $5.00
AMP Technologist Member: $5.00
AMP Associate Member: $5.00
Non-member Price: $5.00