What New Prior Authorization Metrics Mean for Clinical Labs
KFF looks into payer claims denials, which continue to be scrutinized
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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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CMS Issues Final PAMA Rule, Delaying Implementation of New Rates to 2018
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Palmetto Lays Out Analytical Validity Requirements for Liquid Biopsy
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Final PAMA Rule Released, Implementation Delayed to 2018
From – National Intelligence Report
After much lobbying, debate and delay, the Centers for Medicare & Medicaid Services (CMS) final rule implementing the Protecting Access to Medicare Act (PAMA) changes to the Clinical Laboratory Fee Schedule (CLFS) was released…
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CMS Reports Medicare Fraud Prevention System Saves $1.5 Billion
From – National Intelligence Report
While Big Data can mean new opportunities for increasing efficiencies and revenues for the laboratory industry, the Centers for Medicare & Medicaid Services (CMS) claims Big Data has yielded big savings for…
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Challenge: Build a Better Medical Bill
From – National Intelligence Report
The U.S. Department of Health and Human Services (HHS), in collaboration with AARP, is challenging health care organizations to design a…
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Industry Challenged to Create More Patient-Friendly Medical Billing System
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CMS Unveils Proposed Rule Implementing MACRA and Replacing Meaningful Use
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CMS Submits PAMA Implementation Rule for OMB Review
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CMS Issues Proposed Rule Implementing MACRA
From – National Intelligence Report
In January, the Centers for Medicare & Medicaid Services (CMS) Acting Administrator Andy Slavitt indicated the “Meaningful Use program as it has existed, will now…
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