Medicare Claims for Duplicate Laboratory Services Continue to Be Denied
The Centers for Medicare & Medicaid Services (CMS) says it will continue to deny claims for duplicate laboratory services unless the tests are deemed...
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.
CAP Submits Comments on Proposed 2027 Medicare Physician Fee Schedule
The College of American Pathologists (CAP) submitted comments to the proposed 2027 Medicare Physician Fee Schedule (PFS), addressing proposals that...
CMS Announces Phased-In Reduction of Medicare Payment Rates for Lab Services
The Centers for Medicare & Medicaid Services (CMS) plans to reduce preliminary Medicare payment rates for laboratory services.