News
TELCOR is excited to share industry news and updates with our stakeholders across the country.
Cigna Moving Forward to End Reimbursement for Professional Component of Clinical Pathology Beginning Nov 1, 2021
A letter dated September 23, 2021 from Cigna says, “As a result of a recent review, we will deny separate reimbursement for Current Procedural Terminology (CPT®) codes billed with [...]
Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through December
The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December [...]
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
The quarterly update for clinical laboratory fee schedule (CLFS) and laboratory services subject to reasonable charge payment information is now available. For information on the data reporting period and [...]
HRSA Patient Registration Backlogged
The process for registering patients for billing of COVID-19 testing to the HRSA payer is currently backlogged. The patient registration process was returning ID numbers within a day or [...]
Laboratory Test Registry Protocol is Delayed Until Further Notice
UnitedHealthcare is delaying the implementation of the clinical and pathology Laboratory Test Registry Protocol until further notice. This includes registration of non-genetic tests and placement of test codes on claims [...]
Modifier Decision Trees for Hospice Billing
Knowing when hospice patient services should be covered and which appropriate modifiers, GW or GV, should be used can be confusing. Novitas Solutions created simple decision trees to help [...]
CMS Released a Proposed LCD (DL39063) for Pharmacogenomics Testing
On June 11, the Centers for Medicare & Medicaid Services (CMS) released a proposed Local Coverage Determination (LCD) for Molecular Diagnostic Services Program (MolDX): Pharmacogenomics Testing. The scope of [...]
HHS Dedicating Funds to HRSA
The US Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced it is dedicating $4.8 billion from the American Rescue Plan (ARP) [...]
Reimbursement Policy Update – April 2021: Laboratory Services Policy
The Laboratory Services Policy, Professional will deny multiplex PCR respiratory viral panels of six or more pathogens reported with the following codes 0155U, 0151U, 0202U, 0223U, 0225U, 87632 and [...]
House Passes Bill Extending Moratorium on 2% Medicare Sequester Cuts Through End of 2021
On April 13, 2021, the House of Representatives voted 384-38 to pass a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare [...]