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CMS Issues Guidance on Clinical Laboratory Fee Schedule Reporting Requirements

Significant guidance specific to hospital-outreach laboratories

The Centers for Medicare & Medicaid Services (CMS) has issued additional guidance for laboratories that are required to report private payer data for laboratory tests under the clinical laboratory fee schedule (CLFS). CHA urges any hospital with a laboratory that bills Medicare on a Form CMS-1450 14x Type of Bill to carefully review the guidance to determine its status as an applicable laboratory.

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