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...
RCM
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...
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...
Congressional Problem Solvers Caucus Endorses RESULTS Act
A bipartisan congressional caucus recently announced its endorsement of the Reforming and Enhancing Sustainable Updates...
Senate HELP Committee Votes to Advance Price Transparency Legislation
On July 22, the Senate Health, Education, Labor, and Pensions (HELP) Committee voted to advance the Patients Deserve...