UnitedHealthcare Expands Multiple Genetic and Molecular Policies
UnitedHealthcare (UHC) Community Plan’s August policy update revised several medical policies to reflect phase 2 of the DEX® Z-Code requirement for...
Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), surveyors may now accept Primary Source Verification (PSV) as evidence of compliance with mandated personnel qualifications. A policy memorandum posted on March 26 supersedes a previously expired (as of Dec. 6, 2024) CLIA provision regarding personnel policies for individuals directing or performing nonwaived tests under CLIA regulations. If PSV is unable to verify certain required elements in the personnel regulations, it is the responsibility of the laboratory director to verify they are met by other means. PSV may be submitted for laboratory director qualifications.
No changes have been made to CLIA personnel regulations or the policy on mandatory citations.
CMS Launches IDR Gateway: What Providers Need to Know Before September 15
In late 2026, the Federal Independent Dispute Resolution (IDR) process will transition from single-use web forms to the new IDR Gateway, which will...
Organizations Representing Clinical Labs and Diagnostics Write in Support of Legislation to Improve Medicare LCD Process
A coalition of more than 30 stakeholder organizations has written to key lawmakers expressing their support for the Timely Access to Coverage...