PAMA Data Submission Tool
We have now helped several clients affordably manage their data submissions. If you have questions or are interested in utilizing our services for this obligation please schedule some time on our booking link.
Who needs to report under PAMA
Applicable laboratories must report private payer rates and volumes to CMS during future data reporting periods.
CMS uses that data to set Medicare Clinical Laboratory Fee Schedule rates, so accurate reporting matters for the whole industry as well as for compliance.
How we help
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Confirm whether your laboratory meets the applicable laboratory criteria
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Extract paid claims and rates from your remittance files
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Build the data file in the CMS format and validate it before submission
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Support the submission and keep an audit-ready record
Frequently asked questions
What data is reported? Each HCPCS code, the private payer rate paid and the volume at each rate for the collection period.
Do hospital outreach labs report? Some do; it depends on how the outreach lab bills, so we check the criteria with you.
Can you work from our existing remittance files? Yes. The tool is built to submit directly from remittance data.
Preparing for PAMA reporting? Book a 1-hour consultation or call 517-375-2670.