What Your Hospital or Health Network Lab Needs to Know
to Comply with PAMA Private Payer Price Reporting
Many of the nation’s hospital and health system CEOs and CFOs remain unaware that they are required to report their private payer clinical laboratory test price data to the federal Centers for Medicare and Medicaid Services (CMS) starting Jan. 1, 2020. Those 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!
What are the actual PAMA reporting requirements? What does your lab need to do to successfully navigate the reporting process? What are your lab’s key do’s and don’ts? This convenient workshop is the ideal tool to help hospital CEOs, CFOs, laboratory administrators—in fact, the entire lab team—tasked with data reporting and other requirements of PAMA!
“What Your Hospital or Health Network Lab Needs to Know to Comply with PAMA Private Payer Price Reporting” is based on federal guidance and enhanced by the expertise of health law practice attorneys, health system leaders who are already reporting data, and other PAMA authorities. The set of 8 on-demand videos, prepared by our subject-matter experts, includes a comprehensive companion PDF handbook that cuts through the maze of federal jargon and provides your team with a practical resource to comply with PAMA requirements and avoid steep penalties.
This is the cost-effective training package ideal for your lab, enabling the entire team to at once understand the PAMA reporting requirements, how to structure your lab’s PAMA data, key recommendations for reporting and pitfalls to avoid, how to pull a PAMA task force together, catching often-overlooked requirements, and much, much more!
8 Video Presentations chock-full of insights and commentary from the most respected experts in the field
A comprehensive ‘Handbook for Lab Leaders’ in PDF format
Easy interactive access from the handbook to corresponding video presentations
All content is downloadable by as many team members as you like!
How We Got to PAMA and This Final Reporting Rule: Understanding the History, Legislation, and Regulatory Process
Involving the Medicare Part B Clinical Laboratory Fee Schedule
38–minute video plus handbook summary, featuring Joyce Gresko, JD, Partner, Alston & Bird
Understanding the Requirements for Reporting PAMA Private Payer Lab Test Price Data: Who Reports, What Is Reported,
How to Report, When Do Penalties Apply, and More
49-minute video plus handbook summary, featuring Diana W. Voorhees, MA, CLS, MT, SH, CLCP, CPCO, Principal
and Chief Executive Officer, DV & Associates
How to Structure Your PAMA Data When Working with Your Internal IT Team or Third-Party Billing Provider
28–minute video plus handbook summary, featuring Sarah Simonson, Director of Client Management, Lab RCM,
and Leigh Polk, Change Healthcare
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-minute video plus handbook summary, featuring Trish Hankila, Vice President Finance, South Bend Medical Foundation
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-minute video plus handbook summary, featuring Craig Young, Senior Financial Analyst, XIFIN
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-minute video plus handbook summary, featuring Modena Henderson, MHA, Vice President, Laboratory Services,
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-minute video plus handbook summary, featuring Elizabeth Sullivan, JD, Healthcare Attorney, Member,
Co-Chair National Healthcare Practice Group, McDonald Hopkins
Workshop Highlights plus Q&As from the CMS
52-minute video plus handbook summary, featuring Sarah Harding, Health Insurance Specialist; Sarah Shirey-Losso,
Director, Division of Ambulatory Service Centers, and Craig Debinski, Centers for Medicare and Medicaid Services
Straight answers to your team’s PAMA questions, plus all the practical how-to’s
your lab needs to report accurate and complete data on time!