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Oxford Textbook of Medical Mycology. Christopher C. Gray's Anatomy E-Book. In addition to personnel regulations, the CMS may consider further updating regulations on proficiency testing PT referrals and histocompatibility regulations under CLIA.


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In addition, the CMS wanted feedback on whether to consider a physical science degree or having that educational background such that all or some should be considered as a qualifying degree to meet the intent of the CLIA education requirements. In its advocacy in response to the CMS, the CAP opposed a nursing degree as an equivalent to a biological science degree.

March 13, 2018

The CAP believes that laboratory personnel should have appropriate laboratory training, experience, and skills for CLIA requirements, and what comprises appropriate documentation to verify training, experience and skills. The CAP recognizes that specific updates to CLIA are needed to address changes in the health care delivery system and emerging technology in order to accommodate current practice settings.

The CMS also sought feedback on proficiency testing PT on whether the use of alternative sanctions will create parity for all types of labs involved in PT referral, and the flexibility to impose alternative sanctions for laboratories issued a Certificate of Waiver determined to have participated in PT referral. The CAP strongly advocated for the law because laboratories faced draconian sanctions for inadvertent PT referrals. Regulations as a result of the Test Act included three-tiered categories of sanctions for PT referral based on the severity and extent of the violation, and created an exception to the one-year laboratory owner ban.

The changes included a more reasonable approach for the CMS to use during its enforcement discretion for PT referral infractions. The CMS is also seeking input to update the existing CLIA histocompatibility to better reflect current knowledge, changes in transplant medicine, and advancements in laboratory testing.

The CAP advocated for recognition of virtual crossmatch. Back to the top. The letter asks, "We urge you to educate state Medicaid agencies by issuing a State Medicaid Director letter and an Informational Bulletin regarding the recently-implemented PAMA cuts and remind them of their obligation to provide Medicaid reimbursement for laboratory services that is sufficient to ensure access to those services.

Laboratory Medicine and Pathology

Patient access to laboratory services is already at risk due to PAMA cuts, especially for vulnerable patients and patients in rural and underserved areas where there are relatively few laboratory providers. The total slide counts were converted into hours using the UW conversion rate. A correlation analysis was performed using Pearson linear regression.

A P value of. It also values breast workload lower, which may be the result of the RCP system not assigning additional value to ancillary studies such as IHC and fluorescence in situ hybridization, which are now a standard component of breast cancer specimens. The aim of this study was to compare three methods for workload measurement.

All three methods show a strong positive correlation on linear regression analysis; however, discrepancies among certain subspecialties become apparent when comparing calculated hours of work per day. The results show that the RVUs tend to favor subspecialties with a higher volume of small specimens, while the RCP system provides more weight for subspecialties with more complex specimens. Using the UW slide count conversion rate of Doubling the rate resulted in good correlation, but slide counts continued to overvalue workload for subspecialties, such as breast pathology, that have extensively sampled large specimens.

All three systems have advantages and disadvantages in measuring workload.