What is a laboratory fee?

What is a laboratory fee? A laboratory fee is an amount charged for making dental appliances, such as crowns, bridges, veneers, inlays, onlays or night guard. These appliances are created under the supervision of the dentist and registered dental technician.

What is gap fill pricing?

Gap-filling is an empirical process of determining a payment amount in a locality using available information sources. Usually the period during which gap-filled payment amounts are instructed is the year following the introduction of a new code.

Does Medicare pay for procalcitonin?

Table 1. Medicare reimbursement for procalcitonin is $38.36.

How does gapfilling work in the CMS system?

Gapfilling occurs when no comparable, existing test is available. In this case, the MACs develop a local payment amount for the new test code and CMS calculates an NLA after a year of payment at the local MAC rates based on the median of rates for the test code across all MACs.

How long does it take Macs to post gapfilled prices?

Once gapfilled prices for tests are developed by the MACs and reported to CMS, we post prices on our website and accept public comments on the gapfilled amounts for 60 days (not reconsideration requests, just comments).

Is there a gapfill for the CY 2018 CLFS?

For example, MAC-specific gapfilled amounts finalized in November 2017 would be used to establish an NLA for the test and the NLA would be effective for the CY 2018 CLFS. Interim Medicare Administrative Contractor/Preliminary Gapfill payment recommendations have been posted below.

What does it mean when gap is filled in stock market?

When gaps are filled within the same trading day on which they occur, this is referred to as fading. For example, let’s say a company announces great earnings per share for this quarter and it gaps up at the open (meaning it opened significantly higher than its previous close).