PAMA and the Clinical Laboratory Fee Schedule: 2019 Update

Originally presented February 21, 2019

Presentation now available (to Primary clients only).


Significant changes have been made to the implementation of the clinical laboratory fee schedule (CLFS) since its introduction under the Protecting Access to Medicare Act (PAMA) in 2018. The “applicable laboratories” criteria have been expanded to include hospital laboratories engaged in outreach. The most recent period for data collection began on January 1, 2019, and laboratories may face significant challenges obtaining the needed data and defending the value of their laboratories.



Photo of Rodney ForsmanRodney Forsman
Emeritus Assistant Professor
Laboratory Medicine and Pathology
Mayo Clinic
Rochester, Minnesota




Learning Objectives

Upon completion of this activity, participants should be able to:

  • Recognize the applicable laboratories criteria as explained in recent guidance releases from the Centers for Medicare and Medicaid Services.
  • Identify what information must be reported.
  • Assess the impact on a health care facility.
  • Communicate the value of the laboratory to their leadership team.


Intended Audience

The outreach forums are applicable to community hospital laboratory administrators, managers, directors, pathologists, outreach coordinators, marketing representatives, and sales managers.


Level of instruction




The following types of credit are offered for this event:
State of California
State of Florida

To obtain credit:
1. Register for and participate in the program.
2. Complete the evaluation that will be sent to you after the program.
3. Generate and print your certificate(s).


Mayo Clinic Laboratories is approved as a provider of continuing education programs in the Clinical Laboratory Sciences by the ASCLS P.A.C.E.® program. This program has been approved for a maximum of 1 P.A.C.E® contact hour.

State of California

Mayo Clinic Laboratories is approved as a Continuing Education Accrediting Agency for Clinical Laboratory Sciences for the State of California. This program has been approved for 1 contact hour.

State of Florida

Mayo Clinic Laboratories is approved as a Continuing Education Accrediting Agency for the clinical laboratory sciences for the State of Florida. Florida Board of Clinical Laboratory Personnel has designated this program for General credit. This program has been approved for 1 contact hour.


Faculty Disclosure

Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty members also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentations. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentations.

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MCL Education

This post was developed by our Education and Technical Publications Team.