CMS said these multi-analyte algorithm-based assays, or MAAAs, do not fit the agency’s definition of laboratory diagnostics. The tests use mathematic formulas to analyze markers associated with risk for disease and are considered “boutique” tests.
CMS said Medicare uses codes for payment of the underlying clinical tests and wants to continue not separately pricing MAAAs codes.
Currently, MAAAs are not listed in tiers 1 or 2 of the CPT codes list created by the American Medical Association, thought the AMA said it will grant CPT codes for MAAAs that it has reviewed and deemed valid.
More Articles on Revenue:
HHS: Medicare Advantage Enrollment Expected to Swell 11%
6 Federal Capital Financing Programs for Hospitals
Wallowa County Health Care District Secures $3.45M in Funding for Care Center
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
