State suspends clinical lab license fees for two years Governor Brown signed a bill (AB 658) on Sept. 28 that suspends the state's clinical laboratory license renewal fees for two years, 2018 and 2019. The bill is a result of an audit that found that the California Department of Public Health (CDPH) had collected millions more in laboratory fees than it had spent operating the Laboratory Field Services (LFS) branch. The fund’s current reserves exceed $22 million. Under existing state law, however, CDPH could not suspend or refund these fees. This bill only suspends renewal fees and will not apply ... October 13, 2017 General Accreditation, Clinical Laboratories, State Legislation, State Legislative Advocacy 0 0 Comment Read More »
Assembly bill would temporarily suspend lab renewal fees The California Legislature is considering a bill (AB 658) that would temporarily suspend the state's clinical laboratory license renewal fees for two years, 2018 and 2019. The bill is a result of an audit that found that the California Department of Public Health (CDPH) had collected millions more in laboratory fees than it had spent operating the Laboratory Field Services (LFS) branch. The fund’s current reserves exceed $22 million. Under state law, however, CDPH cannot suspend or refund these fees. This proposed legislation will only suspend renewal fees and would not ... July 21, 2017 General Clinical Laboratories 0 0 Comment Read More »
CMS delays reporting deadline for physician labs The Centers for Medicare and Medicaid Services (CMS) has announced that it will delay the deadline for physician office-based laboratories to meet new reporting requirements. Qualified laboratories now have until May 30, 2017, to complete reporting of private payor payment data for clinical testing services, as required by the Protecting Access to Medicare Act (PAMA). Under PAMA, laboratories that meet revenue thresholds are required to report private payor payment rates and associated volumes for tests they perform that are paid on the Clinical Laboratory Fee Schedule (CLFS). CMS said it ... April 19, 2017 General Centers for Medicare and Medicaid Services, Clinical Laboratories, CMS, Medicare, Regulatory Advocacy 0 0 Comment Read More »
United Healthcare extends clinical data submission deadline to Sept. 2 At the request of the California Medical Association (CMA), United Healthcare (UHC) has delayed the expansion of its Clinical Data Submission Protocol in California. Originally scheduled to take effect July 1, the expansion will now be pushed back until September 2. First introduced in 2015, the program originally targeted only Medicare benefit plans and required physicians to submit all laboratory test results for UHC Medicare patients. The expansion of the program will require practices to submit laboratory tests for all UHC Medicaid and commercial benefit plans. For more information about ... July 14, 2016 General Medicare, United Healthcare, Clinical Laboratories 0 0 Comment Read More »
Audit says state lab oversight is duplicative, should be eliminated On September 10, the California Bureau of State Audits issued a report that said the California Department of Public Health's (CDPH) Laboratory Field Services should be eliminated because it duplicates a service provided by the Centers for Medicare and Medicaid Services (CMS). CMS regulates all human laboratory testing in the U.S. through the Clinical Laboratory Improvement Amendments system. In California, labs must also be licensed through the state's Laboratory Field Services. This dual regulatory system is a huge burden on physician-operated labs in our state, and the California Medical Association ... September 28, 2015 General Clinical Laboratories 0 0 Comment Read More »
Fraud alert: recognizing relationships that may trigger fraud and abuse concerns for physicians The laws regarding fraud, abuse and anti-kickback violations can be complicated and difficult for physicians to navigate. However, it is increasingly important that physicians be aware of relevant prohibitions to avoid being implicated in a potentially fraudulent scheme. The California Medical Association (CMA) has received reports that some clinical laboratories, especially those testing for cardiovascular markers, are offering physicians cash incentives for blood draws of Medicare patients. Accepting such incentives could put physicians afoul of laws governing fraud and abuse. Anti-kickback laws prohibit physicians from offering or receiving anything of value ... February 18, 2015 General Fraud and Abuse, Self-Referral, Clinical Laboratories 0 0 Comment Read More »
HHS announces new rule that gives patients direct access to lab test results Patients will soon be able to obtain their medical test results directly from the laboratory, rather than having to request a copy from their physician's office, according to a new rule announced Monday by the U.S. Department of Health and Human Services (HHS). The rule is part of a broader effort to give Americans more control over their health care. It supersedes state law and will have particular significance in 13 states that currently prohibit labs from releasing test results directly to patients. Current California law allows the release of ... February 7, 2014 General Diagnostic Testing, HIPAA, HIPAA Privacy Rule, Clinical Laboratories 0 0 Comment Read More »
