Do certification or accreditation requirements address professional component of clinical pathology services?
Federal and state certification standards, including, without limitation, the Clinical Laboratory Improvement Amendments of 1988 (CLIA), the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), and the College of American Pathologists (CAP), require that hospital laboratories contract with pathologists to provide professional component services. Learn More. III. How does the Medicare program reimburse for professional component of clinical pathology services? The Medicare program provides for reimbursement for professional component of clini-cal pathology services to Medicare beneficiaries through Medicare Part A DRG pay-ments to hospitals, rather than through Medicare Part B payments directly to the pathologists. Learn More. IV. Can a hospital refuse to pay pathologists for their professional component of clinical pathology services for the hospitals Medicare patients? Remuneration between a hospital and pathologists may implicate the Medicare and Medicaid anti-k
