What Every Hospital and Health Network Lab Must Know to Comply with PAMA Private Payer Price Reporting

Thursday, May 2nd, 20198:00 AM - 3:45 PM

8:00 am – 8:45 am
How We Got to PAMA and this Final Reporting Rule: Understanding the History, Legislation, and Regulatory Processes involving the Medicare Part B Clinical Laboratory Fee Schedule
— Joyce Gresko, JD

8:45 am – 9:30 am
Understanding the Requirements for Reporting PAMA Private Payer Lab Test Price Data: Who Reports, What is Reported, How to Report, When Penalties Apply, and More

— Diana Voorhees, MA, CLS, MT, SH, CLCP, CPCO

9:30 am – 9:45 am
Morning Break

9:45 am – 10:30 am
“How to Structure Your Data When Working with Your Internal IT Team or Third-Party Billing Provider”
— Sarah Simonson

10:30 am – 11:15 am
“Lessons Learned at South Bend Medical Foundation: What Works Best and Pitfalls to Avoid When Gathering, Analyzing, and Reporting PAMA Lab Test Price Data”
— Trish Hankila

11:15 am – 12:00 noon
“Key Recommendations for Reporting Your Lab’s Private Payer Price Data: Identifying Data Sources, Using Informatics Tools, Understanding Where Data is Missing or Inaccurate, and Transmitting Your Data”
— Craig Young

12:00 noon – 1:00 pm
Networking Lunch

1:00 pm – 1:40 pm
“Compliance and Regulatory Issues Associated with the PAMA Statute and the CMS Final Rule for Reporting Private Payer Lab Test Prices: Risks, Consequences, and Often-Overlooked Requirements”

— Elizabeth Sullivan, JD

1:40 pm – 2:25 pm
Question & Answer Session with CMS: Live Remote Opportunity to Ask Questions and Better Understand PAMA’s Data-Reporting Requirements
— Sarah Shirey-Losso, Sarah Harding

2:25 pm – 3:05 pm
“What If Your Hospital Lab Doesn’t Have a CFO? How We Pulled the Task Force Together Throughout Atrium Health to Assemble PAMA Data for Submission”
— Modena Henderson, MHA

3:05 pm – 3:45 pm
Summary of the Day and Q&A with the Experts
Chair: Joyce Gresko, JD
Trish Hankila
Elizabeth Sullivan, JD
Diana W. Voorhees, MA, CLS, MT, SH, CLCP, CPCO


Diana Voorhees

Diana W. Voorhees

Principal and Chief Executive OfficerDV & Associates, Inc.Salt Lake City, UT
Modena Henderson

Modena Henderson

Vice President, Laboratory ServicesAtrium HealthCharlotte, NC
Trish Hankila

Trish Hankila

Vice President FinanceSouth Bend Medical FoundationSouth Bend, IN
Sarah Simonson

Sarah Simonson

Director of Client Management, Lab RCMChange HealthcareLexington, KY
Sarah Harding

Sarah Harding

Health Insurance SpecialistCenters for Medicare and Medicaid ServicesBaltimore, MD
Sarah Shirey-Losso

Sarah Shirey-Losso

Director, Division of Ambulatory ServiceCenters for Medicare & Medicaid ServicesBaltimore, MD
Craig Young

Craig Young

Senior Financial AnalystCraig Young has been at XIFIN for more than 5 years, working in the finance department, assisting XIFIN clients with financial reporting and understanding the financial tools XIFIN provides. Prior to XIFIN, Craig worked in banking for 10 years in the asset and liability management arena. He has a BS in International Finance and an MBA in Finance.XIFIN, Inc.San Diego, CA