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CMS Informational Supplement on Cytology Proficiency Testing
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CMSInformationalSupplementOnCytologyProficiencyTesting
CMSInformationalSupplementOnCytologyProficiencyTesting
CMSInformationalSupplementOnCytologyProficiencyTesting 
Medicare, Medicaid, and CLIA Programs: Statutory and Regulatory Requirements Related to Laboratory Participation in Proficiency Testing and the Availability of Proficiency Testing Programs in Cytology
The Centers for Medicare and Medicaid Services (CMS) or its approved accreditation organizations routinely survey laboratories performing cytology testing biennially. In addition to these surveys, the Clinical Laboratory Improvement Amendment (CLIA) statute requires that individuals performing cytology examinations be tested for their proficiency. Specifically, at Section 353(f)(4)(B)(iv) of the statute, the Secretary is required to perform a "periodic confirmation and evaluation of the proficiency of individuals involved in screening or interpreting cytological preparations, including announced and unannounced on-site proficiency testing of such individuals, with such testing to take place, to the extent practicable, under normal working conditions."
The current requirements for cytology proficiency testing are found in the CLIA regulations at 42 CFR Part 493, published February 28, 1992 and effective, September 1,1992.
Click here for 42 CFR Part 493.
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