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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FDA Watch: New RAPID Coverage Pathway Would Enable Some Lab Tests to Pursue Clearance and Medicare Coverage Simultaneously
FDA-CMS collaboration aims to accelerate Medicare coverage determinations of certain medical devices
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RCM Strategies to Explore for Genetic Testing Compliance
Expert Ashley Zarling details nuances for clinical lab directors and compliance teams
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Medicare Reimbursement: CMS Finalizes Controversial PAMA Fee Schedule
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CMS Ignores Flawed Processes, Finalizes 2018 PAMA Pricing; Labs Need to Take Immediate Action to Offset Impending Lean Times
By Kyle Fetter bio
The final 2018 clinical laboratory fee schedule (CLFS) is out, and it is evident that the argument that the Centers for Medicare & Medicaid Services (CMS) PAMA process was…
OPPS 2018: Revised Payment Rates & a New ADLT Date of Service Exemption
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Billing & Coding: Proposed New Molecular Pathology Crosswalk Codes for 2018
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Medicare Reimbursements: Part B Lab Payments Slightly Down for 2016, Reports OIG
From – National Intelligence Report
The OIG released its report on Medicare Part B payments for lab tests in 2016. The punchline: Lab payments over the past three years remain incredibly consistent in terms of…
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Newly Proposed PAMA Rates for 2018 Confirm Lab Industry’s Worst Fears
From – National Intelligence Report
CMS’s newly issued preliminary Clinical Laboratory Fee Schedule (CLFS) for 2018 dashes the lab industry’s hopes for PAMA relief by making two things…
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LDTs: TRICARE Beneficiaries Get At Least 3 More Years of Access
From – National Intelligence Report
Some of the labs that participate in TRICARE got some good news when the Department of Defense announced that it has extended the so called…
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Draft 2018 CLFS Reveals Fundamental Flaws in PAMA Reporting Exercise; Time to Take Action
By Lâle White bio
As XIFIN predicted, the PAMA reporting exercise has resulted in significant proposed laboratory fee cuts. In fact…