Overturning of Molecular Test Coverage Denials Varies Widely, According to UCSF Study
Research into independent medical review data in four states show payers’ internal policies affect rates of overturns
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Up Next for Labs: PAMA Reporting Window Opens May 1
Cuts to reimbursement rates under PAMA have been pushed back again by Congress, this time to January 2027
PAMA Delay Proposed Until 2027 Under a New Federal Spending Bill
However, attorney Danielle Sloane urges labs to be proactive about potential PAMA reporting requirements on Jan. 31 if the bill doesn’t pass quickly
Enforcement for First Half of Fiscal 2015 to Yield $1.8 Billion in Recoveries
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OIG & Industry Leaders Collaborate on Guidance Regarding Compliance Oversight
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OIG Sets Enforcement Sights on Reform Efforts
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OIG Highlights Sampling Methodology Used in Audits
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OIG Advisory Opinion Addresses Payment After Program Exclusion
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CMS Seeks to Ease Meaningful Use Reporting Burdens
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Free Access to Electronic Interface OK, Says OIG
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Gift Cards in Exchange for Health Services OK, Says OIG
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