White Papers

2015 CMS Projected AP Fee Schedule

On October 31, 2014 CMS submitted its Final Rule for the Medicare Professional Fee Schedule.  This information has been much anticipated due to addition of new CPT codes related to ISH and IHC.  Along with the addition of these codes, we have seen some changes in RVU values that have driven down reimbursement, most notably for ISH coding.  Also noteworthy is a 15% increase to 88342-26 (previously G0461 for CMS) and a decrease to the 88342-TC of 6%.  The below PDF contains a chart that summarizes these values.

Recent White Papers

Q3 2020 CPT Codes Included in the Laboratory Date of Service Exception Policy for Designated ADLTs & Molecular Pathology Tests
July 15th, 2020
United Healthcare Exerts Downward Pressure on Lab Reimbursement
July 10th, 2020
Updates in Surprise Bill Legislation
July 01st, 2020
DHCS CA Medi-Cal Responds to Novel COVID-19
July 01st, 2020


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