Beyond Prior Authorization Reform: The Next Measure of Administrative Simplification
Clinical labs can serve as early observers of this transition
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Articles and Reports
Clarisa Blattner: MACs Refresh Medicare DOS Guidance
Why clinical laboratories should pay attention even though date-of-service rules haven’t changed
Clarisa Blattner: Could Medicare LCD Policy Be Poised for Reform?
Details behind the proposed Timely Access to Coverage Decisions Act
Hopes for Permanent PAMA Relief Dashed
Though the federal spending bill passed at the end of December offers another year’s reprieve from PAMA price cuts, SALSA was not included.
The 5 Most Significant Lab Company M&A Deals of 2022
Merger and acquisition deal volume and value were down last year, but deal impact was not.
Compliance Alert: Revised Medicare Part B Travel Allowance Rules
What labs need to know to maximize travel allowance reimbursements.
Eight New CLIA-Waived Tests Recognized by CMS
Labs will be able to bill their MACs for the newly recognized tests starting April 1, 2023.
Weekly Enforcement Report: Plenty of Kickbacks
Last week’s cases saw a major false claims-related settlement, as well as many kickback-related schemes.
New Medicare Part B Lab Specimen Collection Fee Rules Take Effect Jan. 1
What labs need to know to maximize specimen collection fee reimbursements.
Theranos in Court: Balwani Gets Nearly 13 Years in Prison
After being convicted on all charges he faced, the former Theranos COO was sentenced to 12 years, 11 months on Dec. 7.
Weekly Enforcement Report: Jail Time for Diagnostic Testing Facility Owners
Co-owners sentenced to three years each for paying millions in kickbacks for referrals to their Brooklyn-based facilities.
OIG Steps Up Enforcement Activity, but Recovery Numbers Still Lag
While civil actions, criminal actions, and exclusions are up, the increased activity isn’t yet reflected in total recoveries.
Which Blood Tests Are Best at Early Alzheimer’s Detection?
A recent study led by a team at the University of Gothenburg shows that multiple biomarkers could ID the disease even in people with no symptoms.
