Software as a Medical Service, or SaMS, Takes Spotlight in New CMS Proposal
Clinical labs have until Aug. 31 to submit public comments about the anticipated changes
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Six RCM Tips from the ADLM 2026 Meeting
Watch for panel unbundling, Medicare spending shifts, and frequency-based denials
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Four Federal Efforts to Monitor, Including RESULTS Act Progress
Other proposals aim to increase fraud enforcement, temper prior authorization, and modernize CLIA
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Surprise Billing Rules Would Give Private Health Plans Advantage in Disputes
The way the No Surprises Act is implemented would essentially allow private health plans to set out-of-network rates in billing disputes.
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Malpractice Premiums Rise but Medicare Reimbursement Doesn’t
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Medicare to Cover Over-the-Counter COVID-19 Tests
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CMS Restores Medicare Coverage of Certain Genetic Thyroid Cancer Tests
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Blue Cross Blue Shield Sues National Lab for COVID-19 Test Price Gouging
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Medicare Expands Coverage for CTC Tests
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Labs and Payors Take Their COVID-19 Test Reimbursement Feud to Court
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Labs Sue National Insurers for Not Reimbursing COVID-19 Testing Claims
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