What New Prior Authorization Metrics Mean for Clinical Labs
KFF looks into payer claims denials, which continue to be scrutinized
Keep up to date on the latest legal, compliance, and business developments affecting the lab industry, while offering analysis and insight to ensure your lab’s success.
KFF looks into payer claims denials, which continue to be scrutinized
But anti-regulatory stance taken by Trump administration could serve as a potential obstacle in the effort
The national lab giant swiftly merged Empire City’s operations into its own
A federal appeals court upheld the idea that clinical laboratories can rely on physician orders to justify medical necessity
Genetic testing now accounts for 43 percent of all Medicare Part B laboratory spending
Research into independent medical review data in four states show payers’ internal policies affect rates of overturns
It is acquiring Bako Diagnostics and StrataDx for a combined $55.5 million
TruVerus is designed to perform a slew of clinical laboratory tests on as few as eight drops of blood
Laboratories must register for email-only communications and submit all CLIA fees electronically
Cuts to reimbursement rates under PAMA have been pushed back again by Congress, this time to January 2027
However, attorney Danielle Sloane urges labs to be proactive about potential PAMA reporting requirements on Jan. 31 if the bill doesn’t pass quickly