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Reimbursement & Coverage - American Clinical Laboratory Association

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href="https://www.acla.com/issues/" class="home inline-block"> <span>Issues</span> </a> </span><span class="mx-6 inline-block">|</span> <span> <span class="current-item">Reimbursement &#038; Coverage</span> </span> </div> <div class="category-list container mt-24"> <div class="text-center ss"> <a href="https://www.acla.com/saving-access-to-laboratory-services-act/" class="wp-block-button__link text-white capitalize sm:whitespace-no-wrap ">PAMA Reform</a> <a href="https://www.acla.com/public-health-preparedness/" class="wp-block-button__link text-white capitalize sm:whitespace-no-wrap ">Public Health Preparedness and Infrastructure</a> <a href="https://www.acla.com/regulatory-issues/" class="wp-block-button__link text-white capitalize sm:whitespace-no-wrap ">Regulatory Issues</a> <a href="https://www.acla.com/reimbursement-coverage/" class="wp-block-button__link text-white capitalize sm:whitespace-no-wrap current">Reimbursement and Coverage</a> <a href="https://www.acla.com/the-power-of-knowing/" class="wp-block-button__link text-white capitalize sm:whitespace-no-wrap ">Value of Clinical Labs: The Power of Knowing</a> </div> </div> <h1 class="container has-divider text-4xl my-24 text-primary uppercase text-center">Reimbursement &#038; Coverage</h1> <div class="wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex"> <div class="wp-block-column is-layout-flow wp-block-column-is-layout-flow" style="flex-basis:33.33%"> <figure class="wp-block-image size-large"><img fetchpriority="high" decoding="async" width="775" height="1024" src="https://www.acla.com/wp-content/uploads/2020/09/Images_2x_Reimbursement-Coverage-775x1024-1.jpg" alt="" class="wp-image-15343" srcset="https://www.acla.com/wp-content/uploads/2020/09/Images_2x_Reimbursement-Coverage-775x1024-1.jpg 775w, https://www.acla.com/wp-content/uploads/2020/09/Images_2x_Reimbursement-Coverage-775x1024-1-174x230.jpg 174w, https://www.acla.com/wp-content/uploads/2020/09/Images_2x_Reimbursement-Coverage-775x1024-1-768x1015.jpg 768w, https://www.acla.com/wp-content/uploads/2020/09/Images_2x_Reimbursement-Coverage-775x1024-1-255x337.jpg 255w" sizes="(max-width: 775px) 100vw, 775px" /></figure> </div> <div class="wp-block-column is-layout-flow wp-block-column-is-layout-flow" style="flex-basis:66.66%"> <div class="category-desc"><p>Clinical laboratories are reimbursed for providing services to Medicare beneficiaries using either the Physician Fee Schedule (PFS) or the Clinical Laboratory Fee Schedule (CLFS), depending on the nature of the service.聽 In addition, clinical laboratories provide services to beneficiaries of other government programs such as Medicaid, TRICARE and the Federal Employee Health Benefit Plan (FEHBP), as well as commercial plans.</p> <p>Lab reimbursement in many of these programs has been reduced in recent years, and in the case of the Medicare program, annual cuts are scheduled in current law not only as a result of sequestration, but also through annual cuts built into the Affordable Care Act.</p> <p>While payments for lab services are being slashed, the costs associated with providing critical laboratory services &#8211; including labor, supplies, and transportation &#8211; continue to climb.</p> <p>Although many labs have managed to navigate changes in markets and reimbursement and while still continually improving quality, continued arbitrary and severe payment reductions will result in reduced access to essential tests for critically ill patients, less innovation, more closures or consolidation of businesses, and more people out of jobs.</p> </div> </div> </div> <section class="mg-news__issue flex flex-col lg:flex-row mt-20"> <div class="mg-news-section text-primary relative bg-dividers py-12 px-6 lg:2/3 lg:py-32 lg:px-24 flex-1"> <h2 class="has-divider text-center m-0"> Related News </h2> <div class="lg:relative h-full lg:max-w-lg mx-auto"> <div 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i.numOnHover=0},1e3);else if(i.numOnHover>i.config.rateThrottle)return;i.numOnHover++,i._addPrefetchLink(e)},this.config.onHoverDelay);t.addEventListener(n,function e(){t.removeEventListener(n,e,{passive:!0}),null!==r&&(clearTimeout(r),r=null)},{passive:!0})}},{key:"_addPrefetchLink",value:function(i){return this.prefetched.add(i.href),new Promise(function(e,t){var n=document.createElement("link");n.rel="prefetch",n.href=i.href,n.onload=e,n.onerror=t,document.head.appendChild(n)}).catch(function(){})}},{key:"_prepareUrl",value:function(e){if(null===e||"object"!==(void 0===e?"undefined":r(e))||!1 in e||-1===["http:","https:"].indexOf(e.protocol))return null;var t=e.href.substring(0,this.config.siteUrl.length),n=this._getPathname(e.href,t),i={original:e.href,protocol:e.protocol,origin:t,pathname:n,href:t+n};return this._isLinkOk(i)?i:null}},{key:"_getPathname",value:function(e,t){var n=t?e.substring(this.config.siteUrl.length):e;return n.startsWith("/")||(n="/"+n),this._shouldAddTrailingSlash(n)?n+"/":n}},{key:"_shouldAddTrailingSlash",value:function(e){return this.config.usesTrailingSlash&&!e.endsWith("/")&&!this.regex.fileExt.test(e)}},{key:"_isLinkOk",value:function(e){return null!==e&&"object"===(void 0===e?"undefined":r(e))&&(!this.prefetched.has(e.href)&&e.origin===this.config.siteUrl&&-1===e.href.indexOf("?")&&-1===e.href.indexOf("#")&&!this.regex.excludeUris.test(e.href)&&!this.regex.images.test(e.href))}}],[{key:"run",value:function(){"undefined"!=typeof RocketPreloadLinksConfig&&new n(new RocketBrowserCompatibilityChecker({capture:!0,passive:!0}),RocketPreloadLinksConfig).init()}}]),n}();t.run(); }()); </script> <script src="https://www.acla.com/wp-content/themes/schmidt/js/functions.js?ver=2013-07-18" id="ssxtheme-script-js"></script> <script id="mg-theme-js-js-extra"> var mgThemeVars = {"svgPath":"https:\/\/www.acla.com\/wp-content\/themes\/schmidt\/images\/icomoon\/SVG\/"}; </script> <script src="https://www.acla.com/wp-content/themes/schmidt/dist/site-bcc926fa59e12ae9d44f.js" id="mg-theme-js-js"></script> <script id="mg-theme-js-js-after"> const mgSiteContent = document.querySelector("#site-content"); if (mgSiteContent && mgSiteContent.firstElementChild) { mgSiteContent.firstElementChild.classList.add("active"); } </script> <script src="https://www.acla.com/wp-includes/js/dist/vendor/moment.min.js?ver=2.30.1" id="moment-js"></script> <script id="moment-js-after"> moment.updateLocale( 'en_US', {"months":["January","February","March","April","May","June","July","August","September","October","November","December"],"monthsShort":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"weekdays":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"weekdaysShort":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"week":{"dow":0},"longDateFormat":{"LT":"g:i a","LTS":null,"L":null,"LL":"F j, Y","LLL":"F j, Y g:i a","LLLL":null}} ); </script> <script src="//www.acla.com/wp-content/themes/schmidt/js/bootstrap.min.js"></script> </body> </html> <!-- This website is like a Rocket, isn't it? 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