ASCP Helps Secure Important Changes to Medicare Date of Service Policy

Nov 02, 2017
The Centers for Medicare and Medicaid Services (CMS) just released its final rule updating the Medicare Hospital Outpatient Prospective Payment System (OPPS) for CY 2018, and in it the Agency has confirmed that it is changing its Date of Service Policy (DOS) in line with ASCP’s advocacy requests.  According to the Final Rule, “The new exception to the laboratory DOS policy generally permits laboratories to bill Medicare directly for Advanced Diagnostic Laboratory Tests  and molecular pathology tests excluded from OPPS packaging policy if the specimen was collected from a hospital outpatient during a hospital outpatient encounter and the test was performed following the patient’s discharge from the hospital outpatient department.”