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CMS Proposes New Medicare Clinical Diagnostic Laboratory Tests Fee Schedule

CMS released its initial plan for how to implement the “Protecting Access to Medicare Act of 2014,” which became law last year and seeks to establish a market-based payment system for diagnostics. Under the law, “applicable laboratories” will report to CMS reimbursement allowable rates from private payors for each clinical diagnostic lab test and the volumes for each test over a specified period of time.  CMS will then calculate a weighted median payment amount for each test.