There are many changes happening in health care every day at the state and federal level. To help you navigate this information, we have implemented a Policy Update page.

The page you are currently viewing is the archive of policy that was previously on the Updates page.

 

Archived 7/1/2009 Payment for Clinical Diagnostic Laboratory Tests Furnished by CAHs (page 24,202) CAHs which elect the optional method of reimbursement for outpatient services (often referred to as Method II), currently receive reimbursement at 101 percent of reasonable costs for outpatient facility service and reimbursement at 115 percent of the physician fee schedule amount for professional services. Continued

Archived 7/1/2009 CAH Optional Method of Payment for Outpatient Services (page 24,203) CMS proposes requiring that clinical diagnostic lab facilities that are part of CAHs must meet the provider-based rules. Currently, Medicare provider-based regulations provide that clinical diagnostic lab facilities are exempt from provider-based determinations, as lab services furnished in such facilities generally are reimbursed under the Medicare clinical lab fee schedule and the reimbursement for the lab services do not change if these facilities are free-standing or part of a hospital. Continued

Archived 7/1/2009 Provider-Based Status of Facilities and Organizations: Proposed Policy Changes (page 24,204) CMS proposes requiring that clinical diagnostic lab facilities that are part of CAHs must meet the provider-based rules. Currently, Medicare provider-based regulations provide that clinical diagnostic lab facilities are exempt from provider-based determinations, as lab services furnished in such facilities generally are reimbursed under the Medicare clinical lab fee schedule and the reimbursement for the lab services do not change if these facilities are free-standing or part of a hospital. Continued