Medicare and Medicaid Payment Policies
Part B Fee Schedule
On this page you will find information about CPI increases, travel allowance, rebasing fee schedule, inherent reasonableness, and Advance Beneficiary Notices (ABNs).
12/29/2009
Standard Mileage Rate Drops To 50 Cents
11/25/2009
CMS Policy on Signatures on Requisitions
07/16/2009
Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Proposed Rule, Federal Register, July 13, 2009
07/11/2009
OIG - Variation in the Clinical Laboratory Fee Schedule
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03/11/09 - Negotiated Rulemaking Medicare Clinical Diagnostic Laboratory Fee Schedule Modernization Act, HR 1452
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12/19/08 - CPI Increase CMS Transmittal announcing the 4.5% CPI increase to the 2009 Part B fee schedule
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09/17/08 - Travel Allowance 8 Cent Increase to Trip Fee to be Implemented October 6, 2008
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08/1/08 - Rebase Fee Schedule HR 6761, A Bill to Rebase the Part B Clinical Laboratory Fee Schedule
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05/30/08 - Travel Allowance Travel Allowance Increase
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Advanced Beneficiary Notices (ABNs)
CMS Publishes Instructions For Newly Revised ABN
CMS has finally posted instructions for the new Advance Beneficiary Notice (ABN). The deadline date for final implementation is March 1, 2009. Click here to view copies of CMS's announcement, the new ABN form, and the instructions. - August 19, 2008
ABN Information June 2008
2002
Federal Register - February 19, 2002
Revisions to the Draft ABN Based on Comments Received
Forms
ABN Form No. CMS-R-131-L (English ) for lab services ABN Form No. CMS-R-131-L (Spanish) for lab services ABN Form No. CMS-R-131-G (English) for all services ABN Form No. CMS-R-131-G (Spanish) for all services
Supporting Statement and Comments & Responses
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2006 Update to Medicare's Part B Clinical Lab Fee Schedule - Part B Fee Schedule
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Medicare Clinical Laboratory Fee Schedule Improvement Act of 2006 (Introduced in House) HR 5369 - Rebasing Fee Schedule
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05/15 /06 - Part Be Fee Schedule Hold On Medicare Payments
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12/13/05 CMS - Inherent Reasonableness Payment Policy
Medicare Program; Application of Inherent Reasonableness Payment Policy to Medicare Part B Services (Other Than Physician Services), Federal Register, December 13, 2005
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2001-2002 Negotiated Rulemaking
- Final Rule, Federal Register - November 23, 2001
- PM AB-02-129, September 27, 2002 - instructions to implement the remaining administrative policies for clinical diagnostic laboratory services under Medicare Part B specified in the final negotiated rulemaking regulation.
- PM AB-02-110, July 31, 2002 - includes national coverage decisions for clinical diagnostic laboratory service
- PM AB-02-087, June 26, 2002 - announces the delay in the implementation of the editing for the National Coverage Decisions to January 1, 2003, for dates of service on or after November 25, 2002.
- PM AB-02-030, March 2002 - implemented certain administrative policies from the final rule effective February 23, 2002.
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03/10/00 - Negotiated Rulemaking Medicare Program; Negotiated Rulemaking: Coverage and Administrative Polices for Clinical Diagnostic Laboratory Services This link will take you to the table of contents for the March 10, 2000, Federal Register. Scroll down to Health Care Financing Administration in this table of contents to find this proposed rule.
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