PATIENT AI Act Discussion Draft, AMA Issue Brief for Clinical AI Liability Released
Accountability and reimbursement for artificial intelligence (AI)-based technologies were highlighted topics of...
RCM
Recently Released CLFS Data Reveal Large Differences in Test Volume by Laboratory Setting
The Centers for Medicare and Medicaid Services (CMS) released a report on Oct. 20 detailing significant differences in...
CMS Seeking Comment on CLIA Rule Allowing Remote Access to Digital Laboratory Data
The Centers for Medicare & Medicaid Services is seeking comment on a proposed rule to amend regulations from the...
Bill to Reform No Surprises Act Arbitration Process Introduced in House
Rep. Frank Pallone (D-N.J.), ranking member of the House Energy & Commerce Committee, introduced legislation to fix the...
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...
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...
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...
UHC to Eliminate Certain Prior Authorization Requirements Across Plans
United Healthcare announced Sept. 1 it is eliminating 30 percent of prior authorization requirements for certain plans.
CAP Urges CMS to Reconsider Payment for Software-Based Diagnostic Services
The College of American Pathologists (CAP) submitted comments to the Centers for Medicare & Medicaid Services (CMS) on...
CMS Releases October Quarterly Update to CLFS and CLIA HCPCS Codes
The Centers for Medicare & Medicaid Services (CMS) posted the October 2026 Quarterly Update to the Clinical Laboratory...
Appeals Court Strikes Down No Surprises Act Qualified Payment Amount Formula
The U.S. Court of Appeals for the Fifth Circuit issued a ruling on Aug. 11 striking down a provision of the No...
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...