Key Revisions Finalized for Federal IDR Processes Under No Surprises Act
The Departments of Health and Human Services, Labor, and Treasury and the Office of Personnel Management released a...
Industry
Prior Authorization Process Reform in Medicare Advantage Gaining Traction in Congress
The Improving Seniors’ Timely Access to Care Act (S.1816/H.R.3514) is gaining significant bipartisan support in both...
Recent Congressional Actions Seek to Address Medicare LCD, MA, and NSA Enforcement Reforms
A suite of bills recently introduced in Congress seek to address issues underlying Medicare local coverage...
CMS Announces Electronic Prior Authorization Policy Update
Centers for Medicare & Medicaid Services (CMS) Administrator Mehmet Oz, M.D., announced the next phases in the agency’s...
American Medical Association and Partner Organizations Call for Stronger Enforcement of No Surprises Act
The American Medical Association and 111 specialty societies and state medical associations are urging administration...
Virginia Takes Legislative Action on Steering Referrals of Laboratory Services
Virginia Gov. Abigail Spanberger signed Senate Bill 745 on April 6, prohibiting health plans from imposing unnecessary...
CAP Comments on CMS Antifraud Efforts, Urges Reevaluation of MolDX Program
The College of American Pathologists (CAP) submitted comments in response to a request for information on the Centers...
CMS Adopts Final Rule Phasing Out Fax and Mail for Health Care Claims Attachments
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on national standards for electronic claims...
CMS Clarifies CLIA Certification Requirements for Remote Cytology
The Centers for Medicare & Medicaid Services (CMS) recently clarified Clinical Laboratory Improvement Act (CLIA)...
Quality Payment Program Claim Adjustment Applied to Correct Conversion Factor
The Centers for Medicare & Medicaid Services has found a system issue related to the 2026 Medicare Physician Fee...
Updated CDLT Data Reporting Period to Begin May 1
Effective May 1, clinical diagnostic laboratories will be required to follow new data reporting requirements for...
Trump Administration Imposes Temporary Import Duties Following Supreme Court Ruling
Despite recent legal challenges to the Trump administration’s sweeping tariffs, a Section 232 investigation is ongoing...