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OIG: Medicare Advantage Plans Are Stiffing Physicians on Reimbursement

OIG: Medicare Advantage Plans Are Stiffing Physicians on Reimbursement

by Glenn S. Demby | May 4, 2022 | Articles, News, Open Content

New report shows a fair portion of prior authorization and physician reimbursement request denials actually met Medicare coverage rules.

Precision Oncology Company Nabs Coverage for Advanced Cancer Test

Precision Oncology Company Nabs Coverage for Advanced Cancer Test

by Glenn S. Demby | May 3, 2022 | Articles, Essential, Laboratory Industry Report

In this month’s Business Roundup, we cover key happenings including Medicare coverage and reimbursement, as well as the US surpassing Europe as medtech’s market of choice.

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Whatever Happened to Those Part B Lab Test Spending Reductions?

Whatever Happened to Those Part B Lab Test Spending Reductions?

by Glenn S. Demby | Feb 17, 2022 | Articles, News

The Protecting Access to Medicare Act (PAMA) was supposed to significantly reduce Medicare Part B lab tests spending. But it hasn’t happened. In FY 2018 and 2019, the first two years under the PAMA system, Medicare payments under the Clinical Laboratory Fee Schedule...
Medicare Expands Coverage of LCDT Lung Cancer Screening

Medicare Expands Coverage of LCDT Lung Cancer Screening

by Glenn S. Demby | Feb 15, 2022 | Articles, News, Open Content

No cancer is more deadly than lung cancer. But early detection can save lives and head off costly and invasive treatment. With this in mind, the Centers for Medicare and Medicaid Services (CMS) issued a national coverage determination (NCD) expanding coverage for lung...
Medicare Will Pay for Over-the-Counter COVID-19 Tests

Medicare Will Pay for Over-the-Counter COVID-19 Tests

by Glenn S. Demby | Feb 9, 2022 | Articles, COVID-19, Essential, National Lab Reporter, Reimbursement-nir

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