PAMA and the Clinical Laboratory Fee Schedule 2019 Update

Presented by Rodney W. Forsman

This presentation reviews significant changes that have been made to the implementation of the Clinical Laboratory Fee Schedule (CLFS) since its introduction under PAMA in 2018. The Applicable Laboratory criteria have been expanded to include hospital laboratories engaged in outreach. The next period for data collection began on January 1, 2019 and laboratories may face significant challenges obtaining this data and defending the value of their laboratory.

Learning Objectives

  • Recognize the Applicable Laboratories criteria as explained in recent CMS guidance releases
  • Identify what information must be reported
  • Assess the impact on your facility

Continuing Education

  • 1.0 Contact Hour

Body of Knowledge Learning Domains

  • Compliance and Risk Management
  • Finance Management

Content Level

  • Essential


  • Included for Professional Members
  • $29 for Emeritus Members
  • $49 for Non-Members

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