The Protecting Access to Medicare Act (PAMA) requires applicable laboratories to report private payer rates for clinical laboratory services to the Centers for Medicare and Medicaid Services (CMS); the data is used to calculate Medicare reimbursement rates for tests on the clinical laboratory fee schedule. In 2018, CMS included hospital “outreach” laboratories that submit claims for nonpatient services to the list of entities that must report private payer data (if the hospital did more than $12,500 in specimen-only business with Medicare).
While not all hospitals are required to report, failure to report or incomplete, inaccurate reporting may trigger significant financial penalties. Is your hospital required to report? Find out now to avoid penalties for next report of private payer rates, due in the first quarter of 2022.
Hospital laboratories could face considerable risk if not compliant with the latest PAMA requirements. Reporting inaccurate information could result in continuing downward adjustments to the Clinical Laboratory Fee Schedule, carrying far-reaching budget implications for hospitals, physician practices and independent laboratories.
This informative webinar with an interactive Q&A session is a must-attend event for everyone in your hospital and lab team responsible for gathering, analyzing and reporting data to CMS. You will get answers to your toughest questions and master the knowledge you need to report accurate and complete data on time.
At the conclusion of the webinar, attendees will be able to:
- Comprehend the CMS mandate for lab PAMA reporting – who, what, why and when
- Recognize whether your hospital is required to report
- Evaluate the organizational ability to collect and calculate the required data
- Anticipate the consequences for failure to report timely, accurate and complete private payer data to CMS within the required reporting period
Monica Lelevich, director, audit services, PARA HealthCare Analytics, an HFRI Company
Monica Lelevich began her career in health care in 1995, after previous professional experience in cost analysis and contracts management in other industries. Prior to joining PARA, her career included nine years at PeaceHealth, an integrated delivery system in Washington state, as director of contracts and director of PFS. She also served as business office director for Kaiser Permanente Northwest in Portland, Oregon, and revenue cycle director for St. John’s Medical Center in Jackson, Wyoming.
Lelevich has extensive experience in both physician and hospital revenue cycle operations and she specializes in process improvement and making complex compliance issues understandable to all participants in the revenue cycle. She joined PARA in April 2012 as director of audit services, responsible for conducting revenue integrity program meetings and providing on-site client audit services.
Who should attend
Hospital CEOs, CIOs, finance managers, revenue integrity managers, billing managers, patient financial services staff, compliance officers and laboratory directors.
Following the webinar, registrants can log into MHA’s website to request a certificate of attendance to document participation in the education session. The event does not qualify for certified education; however, you can use the certificate to self-report to any organization that requires you to submit showing proof of attendance. Participants can individually determine if they wish to use the hours in that manner.
- Complimentary for MHA members
- $25 for nonmembers
Please register by 5 p.m. on July 20 to ensure timely delivery of access instructions.
Approximately four business days before the web conference, you will receive an email that contains instructions on how to connect. Advance registration is required to ensure delivery of instructional materials.
If you do not receive an email from Christy Hammer prior to the program with web conference details, please contact firstname.lastname@example.org to confirm your registration.