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American Association of Bioanalysts/National Independent Laboratory Association

When a small, family-owned clinical laboratory came to the District Policy Group describing reimbursement concerns with their Medicare Part B work, we immediately stepped into action. Due to a glitch within the Centers for Medicare and Medicaid Services’ (CMS) new claims submission process, the laboratory had not received reimbursement for 17,000 Medicare claims in more than a month. Working with the Member of Congress representing the laboratory’s Congressional district, we obtained direct support at the highest levels within CMS to address the challenge. For this small business, not receiving payments for 30 days meant the possibility of closing its doors as they were unable to maintain normal operations. Within a few days, we were able to solve the issue with CMS and ensure the laboratory received immediate payment for the unpaid claims and that the system worked smoothly going forward.