Tag: CMS

ACLA Files Lawsuit Challenging CMS Implementation of PAMA

| December 18, 2017 | 0 Comments

As reported by GenomeWeb among many media outlets, in an anticipated move, the American Clinical Laboratory Association filed a lawsuit last Monday against Acting Secretary of the US Department of Health and Human Services Eric Hargan, challenging the process by which the Centers for Medicare & Medicaid Services set prices for laboratory tests under the Protecting Access to […]

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Proposed Medicare 2017 Reimbursement Schedule Whacks Biopsy Payments; Digital Pathology Payments Up

| July 20, 2016 | 3 Comments

The bread and butter of every surgical pathologist, the 88305 biopsy code, among others for larger specimens, face a significant reduction for technical cost reimbursement.  The professional reimbursements are expected to change very little. The proposed reimbursement for an 88305 of under $3o I believe is getting close to what it may cost many labs […]

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Where do Pathologists fit into Accountable Care Organizations? – Part 1

| January 5, 2011 | 0 Comments

The following post and subsequent posts to follow on ACOs and Laboratory Developed Tests (LDTs) have been written by Ben Calhoun, MD, PhD. Dr. Calhoun is a practicing surgical pathologist in Charlotte, North Carolina with expertise in breast pathology.  He trained at Yale and Vanderbilt and went to medical school and graduate school at the Medical […]

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