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Affordable Care Act – Section 3113 – Laboratory Demonstration for Certain Complex Diagnostic Tests

Section 3113 of the Affordable Care Act requires the Centers for Medicare and Medicaid Services (CMS) to conduct a demonstration project for certain complex diagnostic laboratory tests for a period of two years beginning July 1, 2011 or until the one hundred million dollars ($100,000,000) payment ceiling has been reached. The demonstration will establish a separate payment method for these tests with a Date of Service (DOS) that would under standard Medicare rules, be bundled into the payment for an associated hospital inpatient stay.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 10, 2011

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.