Six RCM Tips from the ADLM 2026 Meeting
Watch for panel unbundling, Medicare spending shifts, and frequency-based denials
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Articles and Reports
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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Medicare Reimbursement: CMS Proposes MACRA Physician Performance Requirements for 2018
From – National Intelligence Report
On June 30, CMS issued a Proposed Rule addressing a key part of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) implementation: the Quality Payment Program (QPP) for…
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Labs to CMS: Push Back PAMA & Add Hospital Labs to CLFS Mix
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LCDs Demonstrate Evolving Coverage of Molecular Diagnostics
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4 Things about the OPPS Final Rule That Labs Need to Know
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OIG Report Details Medicare Payments for Top Lab Tests
From – National Intelligence Report
Medicare Part B paid $7 billion for lab tests in 2015, the same amount it shelled out in 2014. But 2015 Medicare payments for the top 25…
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OIG Surveys How CMS is Doing on PAMA Implementation
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