June 04, 2021 - 11:30 AM - 12:30 PM

A Primer: What Hospital Labs Need to Know Now About PAMA Private Payor Rate Reporting to Avoid Future Penalties

Location: Online

Registration Deadline: June 04, 2021

Overview

Thanks to the underwriting support of HAPevolve and Para HealthCare Analytics, a HAPevolve industry partner, this webinar is complimentary for all HAP members.

Protecting Access to Medicare Act (PAMA) requires applicable laboratories to report private payer rates for clinical laboratory services to CMS starting in 2022. This data is necessary to calculate Medicare reimbursement rates for tests included on the clinical laboratory fee schedule (CLFS). In 2018, CMS included hospital “outreach” laboratories which submit claims for non-patient services to the list of entities that must report private payor data (if the hospital did more than $12,500 in specimen-only business with Medicare.)

Failure of applicable labs to report (or submission of incomplete, inaccurate data) may trigger significant financial penalties.

Is your hospital required to report?
Do you have the appropriate resources and processes in place to capture the required information?

This session is designed to educate hospitals on how to report required information due in the first quarter of 2022 and avoid financial penalties.

There is another significant factor for hospitals to consider. Reporting inaccurate information could also result in continuing downward adjustments to the Medicare CLFS—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’ll get answers to your toughest questions and master the knowledge you need to report accurate and complete data on time.

Objectives

At the conclusion of the webinar attendees will be able to:

Comprehend 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 are for failure to report timely, accurate, and complete private payor data to CMS within the required reporting period

Faculty

Monica Lelevich, Director, Audit Services, PARA HealthCare Analytics, an HFRI Company

Monica began her career in healthcare in 1995, after previous professional experience in cost analysis and contracts management in other industries.

Prior to joining PARA, Monica’s career included nine years at PeaceHealth, an integrated delivery system in Washington State, in turns as Director of Contracts and Director of Patient Financial Services; 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.

Monica 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, responsible for conducting Revenue Integrity Program meetings and providing onsite client audit services.

Who Should Attend

This program will be of interest to hospital chief executive officers, chief information officers, finance managers, revenue integrity managers, billing managers, patient financial services staff, compliance officers, and laboratory directors.

Registration Information

Fee

Although this webinar is complimentary for HAP members, you must register to attend.

$50—Non-Member

Questions

For registration information, or if you need special accommodations, please contact HAP Education Services at (717) 561-5270.

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