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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Enforcement Trends: OIG Report Suggests that Urine Drug Testing Is Making Labs a Juicy Target Once Again
From – National Intelligence Report
The Office of Inspector General just published its Semiannual Report to Congress (covering Oct. 1, 2017 through March 31, 2018). Here are the key things labs and lab managers need to…
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PAMA Reimbursement: CMS Explains How to Get ADLT Status for New Lab Tests
From – National Intelligence Report
Although the 2018 market-based Clinical Laboratory Fee Schedule (CLFS) is officially in effect, implementation of the new PAMA Part B payment rules for lab tests remains…
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Emerging Tests: Medicare to Cover Next Gen-Sequencing Tests for Advanced Cancer
From – National Intelligence Report
In the PAMA era, there are two salient trends in Medicare Part B lab reimbursements…
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Diagnostic danger in the lab: Time to reform how we process orders
Recent report examining 10,000 claims to understand the key drivers of medical malpractice suits found 52 percent involved lab-related errors.
Out of Network: 6 Frequently Asked Questions
By Richa Singh bio
As labs face an increasingly challenging reimbursement environment, more providers are doubling down on out-of-network strategies to maximize on collections opportunities…
Medicare Reimbursement: CMS Launches New LVA Process for Settling Payment Appeals
From – National Intelligence Report
While Part B lab reimbursements may be going down, the good news is that it just became easier to challenge Medicare payment denials. Here is an overview of…
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Value Care: CMS Value Modifier Programs Ends Not with a Bang but a Whimper
From – National Intelligence Report
Thanks for nothing. While CMS likes to congratulate itself for using provider pay adjustments to “transform the healthcare delivery system,” more often than not…
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Medicare Reimbursement: Federal Government Funding Extension Includes a Boatload of Medicare Changes
From – National Intelligence Report
The government shutdown fiasco is having an impact on Medicare spending and reimbursement. But the crucial details are being buried in the legislative paperwork…
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