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Policy Check out our Advocacy Resources, where you will find all the tools you need to have an impact on the decisions made in Washington D.C. Letters to Congress, key pieces of legislation, and tips for communicating with your legislators are just some of the features that are available in this regularly-updated area. CLMA White Papers
Medicare Reimbursement in the Clinical Laboratory
Chapter 1 (pdf)
Chapter 2 (pdf)
Chapter 3 (pdf)
Chapter 4 (pdf) Reimbursement White Paper FAQs
CLMA Positions
CLMA's Position Regarding 2005 MedPAC Recommendations (.doc)
Attachment 1: MedPAC Proposal (.doc)
Advocacy Materials
Medicare Clinical Diagnostic Laboratory Fee Schedule Modernization Act of 2009:
Medicare CLFS Modernization Act Executive Summary Medicare CLFS Modernization Act Section by Section Analysis Lab Industry Overview
Download - MS Word (.doc) (not working) How to Contact Your Member of Congress
More Resources EHR Stark and Anti-kickback Exceptions Summary of EP and EHR Arrangements The Hogan Report for MedPAC: Trends in Medicare Carrier-Paid Laboratory Testing Services Laboratory National Coverage Determinations HIPAA Final Privacy Rule 2008 Clinical Diagnostic Laboratory Fee Schedule
(This link will bring you to CMS’s Statistic and Data Web site. The lab fee schedule is located at #6 under the category "Payment Rates--Non Institutional Providers." The site provides you with three ways to open the same file.)
Comment Letters CLMA Comments Regarding Payment Determinations for Additional New 2010 G Codes CLMA's Cover Letter Regarding Payment Determinations for New 2010 CPT Codes CLMA's Comments Regarding Payment Determinations for New 2010 CPT Codes CLMA Comments Regarding Proposed Rule to Adopt ICD-10 CLMA Follow-up Comments in Response to CMS 2009 Preliminary Payment Determinations CLMA's Cover Letter Regarding Payment Determinations for New 2009 CPT Codes CLMA Recommendations Regarding Payment Determinations for New 2009 CPT Codes CLMA Follow-up Comments in Response to CMS 2008 Tentative Payment Determinations CLMAs Comments in Response to the FDA Revised Draft IVDMIA Guidance CLMAs Comments in Response to the 2008 PFS Proposed Rule CLMAs Cover Letter Regarding Payment Determinations for New 2008 CPT codes CLMA Recommendations Regarding Payment Determinations for New 2008 CPT Codes CLMA Comments Regarding FDA IVDMIA Draft Guidance and ASR FAQs CLMA Letter to CMS Requesting Clarification of Non-Patient Clinical Laboratory Services CLMA's Comments in Response to the 2007 Physician Fee Schedule Proposed Rule CLMA Follow-up Comments in Response to CMS' 2007 Tentative Payment Determintations CLMA Comments in Response to the July 28, 2006 Federal Register Notice on the Competitive Bidding Application Form - Word (.doc) CLMA Cover Letter Regarding Payment Determinations for New 2007 CPT Codes - Word (.doc) CLMA Recommendations Regarding Payment Determinations for New 2007 CPT Codes CLMA Comments in Response to Medically Unbelievable Edits (MUEs) CLMA Comments Regarding Competitive Bidding Demonstration Project Letter to Support Laboratory Representative on AHIC Comments in Response to the 2005 Physician Fee Schedule Regarding New Laboratory Screening Tests CLMA Comments at the March 3, 2004 CMS Special Open Door Forum for Competitive Bidding.
Contact Us
Please refer all questions regarding CLMA's policy activities to CLMA, at 312/321-5111 or info@clma.org.
Health Care Policy Committee
Chair: Mike Blanchard, Vice President of Sales, Dominion Diagnostics, North Kingstown, RI Special Advisor: Rod Forsman, Administrative Director, Assistant Professor of Lab Medicine, Mayo Clinic CLMA Board of Directors Liaison: Ruth Pollison, Director - Laboratory, Newton Memorial Hospital Medicare Billing Issues Committee
Chair: Sue Jahnke, Account Executive, Marshfield Clinic, Marshfield, WI Special Advisor: Rod Forsman, Administrative Director, Assistant Professor of Lab Medicine, Mayo Clinic CLMA Board of Directors Liaison: Paul Keoppel, Compliance Officer, Intermountain Healthcare
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