What New Prior Authorization Metrics Mean for Clinical Labs
KFF looks into payer claims denials, which continue to be scrutinized
Practical, “What-to-Do” and “How-to-Do-It” Help to Comply with the Latest State & Federal Laws, Rules & Regulations that Affect Your Diagnostic Lab or Pathology Practice
KFF looks into payer claims denials, which continue to be scrutinized
At-home sample collections can be mailed to a clinical laboratory
Clinical labs have until Aug. 31 to submit public comments about the anticipated changes
Watch for panel unbundling, Medicare spending shifts, and frequency-based denials
‘Lean lab’ setup appears to have caught the eyes of investigators
Its FungiFlex assay can make determining the cause of fungal infections vastly more accurate
These core steps are fundamental for protecting laboratory workers from airborne contamination
The proposal seeks to move any future LDT authority away from the FDA
Consultant Nora Hess offers suggestions for clinical labs to navigate these problems
Natera’s assay focuses on the need for adjuvant therapy, while Valar’s test stratifies risk of recurrence
Other proposals aim to increase fraud enforcement, temper prior authorization, and modernize CLIA