Preparing for PAMA Data Reporting

Originally put into effect in 2017, the Protecting Access to Medicare Act (PAMA) requires labs that meet certain CMS volume and payment thresholds to report their private payer data to CMS in an effort to bring the Clinical Laboratory Fee Schedule (CLFS) in line with market rates. Initially, the next round of reporting for payer data collected between January and June 2019 was supposed to take place during the first quarter of 2020. However, legislative and public health emergency-related delays pushed the next round of reporting back to January of 2022, meaning labs must determine whether they are required to report and be prepared to do so compliantly in order to avoid monetary penalties.

During this webinar, you will learn:

-Who is required to report private payer data to CMS beginning in January 2022, including details on the volume and payment thresholds that mandate reporting.

-Details on the recent MedPAC report to Congress, including whether a survey of labs could be adopted to reduce the overall reporting burden.

-A breakdown of what information will be required for reporting labs and how to best collect and submit that information.