What Hospital and Health Network Labs Must Know to Comply
with PAMA Private Payer Price Reporting
Streaming On-Demand Workshop
Many of the nation’s hospital and health system CEOs and CFOs remain unaware of the requirement that they report their private payer clinical laboratory test price data to the federal Centers for Medicare and Medicaid Services (CMS) starting Jan. 1, 2020. Hospitals that fail to report this data required by the Protecting Access to Medicare Act of 2014 (PAMA) may be assessed penalties of up to $10,000 per day for each failure to report, misrepresentation, or omission.
This comprehensive workshop is designed to help hospital CEOs, CFOs, their laboratory administrators, and others tasked with data reporting and other requirements of PAMA to fulﬁll this federal law, with the data reported used to calculate an updated Clinical Laboratory Fee Schedule expected to go into effect Jan. 1, 2021.
“What Hospital and Health Network Clinical Laboratories Must Know to Comply with PAMA Private Payer Price Reporting” is based on federal guidance, enhanced by the expertise of health law practice attorneys, health system leaders who are already reporting data, and other experts. This series of 8 videos comes with a comprehensive companion PDF handbook that supplements the videos, and helps weave together the maze of federal guidance into a wealth of easily accessible resources.
This program package is an ideal educational and training tool for each team member tasked with the PAMA data reporting project, as well as the hospital, health system, and medical laboratory leader who must certify their organization’s data to CMS in a timely manner.
8 Video Presentations, each including insights and commentary from experts in the field
Handbook for Lab Leaders, 44-page PDF
Easy access from the handbook to corresponding video presentations
All content is downloadable
Approved for 5 continuing education units (CEUs) from the American Association for Clinical Chemistry
Video 1: “How We Got to PAMA and This Final Reporting Understanding the History, Legislation, and Regulatory Pro Involving the Medicare Part B Clinical Laboratory Fee Schedule“
38 Minutes. Featuring Joyce Gresko, JD, Partner, Alston & Bird
Video 2: “Understanding the Requirements for Reporting P Private Payer Lab Test Price Data: Who Reports, What Is R How to Report, When Do Penalties Apply, and More“
49 Minutes. Featuring Diana W. Voorhees, MA, CLS, MT, SH, CLCP, CPCO, Principal and Chief Executive Officer, DV & Associates
Video 3: “How to Structure Your PAMA Data When Working with Your Internal IT Team or Third-Party Billing Provider“
28 Minutes. Featuring Sarah Simonson, Director of Client Management, Lab RCM, and Leigh Polk, Change Healthcare
Video 4: “Lessons Learned at South Bend Medical Foundation: What Works Best and Pitfalls to Avoid When Gathering, Analyzing, and Reporting PAMA Lab Test Price Data“
14 Minutes. Featuring Trish Hankila, Vice President Finance, South Bend Medical Foundation
Video 5: “Key Recommendations for Reporting Your Lab’s Private Payer Price Data: Identifying Data Sources, Using Informatics Tools, Understanding Where Data Is Missing or Inaccurate, and Transmitting Your Data“
41 Minutes. Featuring Craig Young, Senior Financial Analyst, XIFIN
Video 6: “What If Your Hospital Lab Doesn’t Have a CFO? How We Pulled the Task Force Together Throughout Atrium Health to Assemble PAMA Data for Submission“
22 Minutes. Featuring Modena Henderson, MHA, Vice President, Laboratory Services, Atrium Health
Video 7: “Compliance and Regulatory Issues Associated with the PAMA Statute and the CMS Final Rule for Reporting Private Payer Lab Test Prices: Risks, Consequences, and Often-Overlooked Requirements“
33 Minutes. Featuring Elizabeth Sullivan, JD, Healthcare Attorney, Member, Co-Chair National Healthcare Practice Group, McDonald Hopkins
Video 8: Workshop Highlights plus Q&As from the CMS
52 Minutes. Featuring Sarah Harding, Health Insurance Specialist; Sarah Shirey-Losso, Director, Division of Ambulatory Service Centers, and Craig Debinski, Centers for Medicare and Medicaid Services
Get answers to your toughest PAMA questions and master the knowledge
you need to report accurate and complete data on time!