News
TELCOR is excited to share industry news and updates with our stakeholders across the country.
CMS Evaluates Blanket Waivers and Flexibilities Put in Place During Public Health Emergency
Under the COVID-19 Public Health Emergency (PHE), which is set to end May 11, the Centers for Medicare & Medicaid Services (CMS) used emergency waiver and various regulatory authorities to [...]
Following Texas Court Decision, CMS Puts Hold on Payment Determinations Under No Surprises Act
The Centers for Medicare & Medicaid Services (CMS) in a Feb. 10 notice instructed certified Independent Dispute Resolution (IDR) entities to hold all payment determinations under the No Surprises Act [...]
CMS Announces Changes to Laboratory Edit Software
In a December Medicare Learning Network article, the Centers for Medicare & Medicaid Services announced changes to the laboratory National Coverage Determination (NCD) edit software coming in the April 2023 [...]
CMS Increasing Specimen Collection Fees, Travel Allowances for 2023
The Centers for Medicare & Medicaid Services (CMS) recently finalized an increase for 2023 in the specimen collection fee and travel allowances paid by Medicare Part B for a laboratory [...]
UnitedHealthcare Releases New Digital Requirements for Reconsideration and Appeal Submissions
Beginning Feb. 1, 2023, United Healthcare is requiring network commercial and Medicare Advantage health care professionals and facilities to submit claim considerations and postservice appeals electronically. This mandate does not [...]
CLFS Reporting and Required Cuts Under PAMA Delayed Until 2024
The Centers for Medicare & Medicaid Services announced that on Dec. 29, 2022, Section 4114 of the Consolidated Appropriations Act, 2023, revised the next data reporting period for clinical diagnostic [...]
CMS Announces Increase in Specimen Collection Fee
Medicare has announced a significant increase in the Specimen Collection Fee for 2023, from $3 to $8.54 and an additional $2 for specimens collected from a Medicare beneficiary in a [...]
No Surprises Act Enforcement Officially in Effect
The No Surprises Act went into effect in January 2022 with enforcement of the act beginning in January 2023. The No Surprises Act applies when the specimen originates from a [...]
Update: PAMA Delayed Following Congressional Action
January 1, 2023 Update: Congress passed the Consolidated Appropriations Act for Fiscal Year 2023, which includes a one-year delay to reimbursement cuts and reporting resulting from PAMA. Without congressional action, [...]
CMS Increases No Surprises Act Administrative Fee
The Centers for Medicare & Medicaid Services announced an amendment to the administrative fee for the Federal Independent Resolution (IDR) process, increasing it from $50 to $350 per party. The [...]