H.R. 1321 would amend title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule.
Detailed Summary
Medicare Advanced Laboratory Diagnostics Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act with respect to: (1) correction of erroneous determinations and other changes in fee schedule and national limitation amounts for clinical diagnostic laboratory tests; (2) issuance of regulations on gap-filling methodology in determining the Medicare fee schedule for such tests; (3) increased transparency of process for determining fee schedule amounts for new tests; and (4) mandatory advance notice of clinical diagnostic laboratory test amounts being considered for adjustment under inherent reasonableness authority.
Directs the Secretary to: (1) establish a demonstration project to evaluate new approaches to coding and payment under the Medicare program for clinical diagnostic laboratory tests; and (2) appoint a standing panel to determine tests to be included in the project and make recommendations derived from project results to the Secretary of Health and Human Services.
Status of the Legislation
Latest Major Action: 3/13/2007: Referred to House subcommittee. Status: Referred to the Subcommittee on Health.
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