Changes to Medicare Payments for Lab Tests
This act changes how the Medicare program pays for certain laboratory tests. It simplifies data collection from laboratories and modifies rules for payment reductions and increases, aiming to improve accuracy and reduce administrative burden.
Key points
Medicare will collect pricing data for widely available lab tests from a sample of laboratories instead of all, making reporting easier for labs.
Deadlines for laboratories to collect and report data are pushed back and will happen less often (every four years instead of three).
Rules about which laboratories must report data are changed, removing the requirement that most revenue come from Medicare.
Limits are placed on how much Medicare payment rates for lab tests can go down or up each year, providing more stability.
Expired
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