News
TELCOR is excited to share industry news and updates with our stakeholders across the country.
CMS Withdraws NCCI PTP Edits Issued for Presumptive and Definitive Tests
The Centers for Medicare & Medicaid Services is withdrawing National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits implemented on July 1, 2023, the agency announced Sept. 14. The NCCI PTP [...]
CPT 2024 Code Set Released by American Medical Association
On Sept. 8, the American Medical Association (AMA) announced the release of the Current Procedural Terminology (CPT) 2024 code set. The CPT Editorial Panel, an independent body convened by the [...]
CMS Releases 2022 MIPS Final Scores and 2024 Payment Adjustment Information
On Aug. 10, the Centers for Medicare & Medicaid Services released the Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2022 performance year, along with 2024 [...]
CMS Releases Quarterly Update to CLFS and Specimen Collection Policy
On Aug. 17, the Centers for Medicare & Medicaid Services (CMS) released its quarterly update to the Clinical Laboratory Fee Schedule (CLFS) and those laboratory services subject to reasonable charge [...]
New Codes Released for Proprietary Laboratory Analysis
The Centers for Medicare & Medicaid Services (CMS) announced 18 new laboratory codes for Proprietary Laboratory Analysis (PLA) along with one additional new code. These codes will be effective Oct. [...]
Texas District Court Ruling Vacates No Surprises Act Requirements for IDR Admin Fees and Batching
On Aug. 3, the U.S. District Court for the Eastern District of Texas ruled in favor of the Texas Medical Association in its lawsuit against the Centers for Medicare & [...]
Health Care Price Transparency Act Approved and Released From Committee
The House Ways and Means Committee amended and approved the Health Care Price Transparency Act of 2023 (H.R. 4822) on July 26. The legislation would require clinical laboratories to publish [...]
ONC Releases Latest Version of Standards for Exchange of Electronic Health Information
The Office for the National Coordinator for Health Information Technology (ONC) finalized version 4 of the United States Core Data for Interoperability (USCDI) on July 20. The ONC adopted the [...]
CMS Releases Proposed Physician Fee Schedule for 2024
The Centers for Medicare & Medicaid Services (CMS) released its proposed 2024 Medicare Physician Fee Schedule (PFS) on July 13. The proposed rule would be effective on or after Jan. [...]
Update on DEX® Z-Codes® for molecular pathology tests
On July 20, 2023, United Healthcare (UHC) announced they will begin enforcing Z-Code requirements starting October 1, 2023, rather than its initial date of August 1. Because of the amount [...]