Prior Authorization Legislation Takes Center Stage at Joint Hearing on Health Care Affordability
A joint hearing held on Jan. 22 by the U.S. House of Representatives Energy & Commerce Subcommittee on Health and the Ways and Means Committee hosted...
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.
Payer Update for Blue Cross Blue Shield New Jersey
TELCOR has identified ongoing processing challenges with BCBS New Jersey that laboratories should be aware of. When claims require medical records,...
Payer Update for BCBS Nebraska
TELCOR has identified a recent process change with BCBSNebraska impacting payment timelines. As of November 1, 2025, BCBSNE adjustedits payment...