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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By the Numbers: Improper Medicare Payments Hit 10-Year Low
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Genetic Testing: CMS Proposes Expanding NGS Testing Eligibility
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Hospital Labs: CMS Pushes Forward with Controversial Price Transparency Rules
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Laboratory Information Systems (LIS): What You Need To Know To Get Paid
By Sean McSweeney bio
Today, laboratory billing claims require more and more data to successfully get paid.
One of the biggest reasons your claims may be getting denied is because…
Medicare Reimbursement: CMS Publishes New CPT Codes
From – National Intelligence Report
CMS recently published new CPT codes taking effect on Oct. 1, 2019. All the codes have a Type of Service (TOS) code of 5, and the codes are…
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PAMAgeddon: Congress Tables Bill to Delay Next Round of Price Reporting for One Year
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Medicare Coverage: NGS Testing of Early-Stage Cancer Patients Is Back in Play
From – National Intelligence Report
The reimbursement outlook for those who provide next generation sequencing (NGS) testing to early-stage cancer of Medicare patients with…
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Three key items to negotiate for successful payer contracts
By Steve Selbst bio
The purpose of this article is to help you, as a provider, to focus on three key items to look for in payer contracts that will help you to get profitable contracts in place…
The Newest PAMA Controversy: The GAO Report & Intervention of a Powerful Senator
From – National Intelligence Report
The recent moves by CMS to include certain hospital outreach labs as “applicable laboratories” for purposes of PAMA reporting and…
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Medicare Reimbursement: New Guidance on Date of Service Rules for Part B Billing of Hospital Outpatient Lab Tests
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