A G2 Intelligence article addressing a proposal in the federal spending bill referenced a Bass, Berry & Sims alert and quoted co-author Danielle Sloane regarding the upcoming deadline for clinical laboratories to report 2019 private payor reimbursement and other data before the April 30, 2026, deadline. Laboratories have from February 1-April 30, 2026 to report this data to the Centers for Medicare & Medicaid Services (CMS) that will determine future reimbursement rates for clinical diagnostic laboratory tests (CDLTs).
“Absent passing of the RESULTS [Reforming and Enhancing Sustainable Updates to Laboratory Testing Services] Act, or another regulatory or congressional action through the funding bill or otherwise, many laboratories, including hospital outreach laboratories, will be required to submit CMS private payor reimbursement data and other information from Jan. 1, 2019, to June 30, 2019, starting February 1, 2026.”
“Importantly, laboratories should not wait until the last minute to report the required data because, at least in 2016, the process was more involved than simply hitting a submit button,” she warned. “Absent congressional action changing the timelines, laboratories (including hospital outreach laboratories) should stay tuned for CMS instruction on this process in the coming weeks.”
The full article, “PAMA Delay Proposed Until 2027 Under a New Federal Spending Bill,” was published by G2 Intelligence on January 26 and is available online (subscription required). To read the full content co-authored by Danielle and released by Bass, Berry & Sims, click here.