News
TELCOR is excited to share industry news and updates with our stakeholders across the country.
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 [...]
2023 Omnibus Appropriations Bill Delays Medicare Payment Cuts to Clinical Laboratory Services; Does Not Include VALID Act
Congress passed the 2023 Omnibus Appropriations Bill on Dec. 23 and provided temporary relief from Medicare payment cuts to clinical laboratory services that would have otherwise gone into effect in [...]
CAP Advocating for Pathology Priorities in End-of-Year Legislation
The College of American Pathologists (CAP) highlighted a few priorities for pathologists and laboratories that they are urging Congress to consider as they negotiate year-end legislation. At the top of [...]
Four Things to Keep in Mind Going Into 2023
Labs have faced challenges and have undergone an incredible amount of change over the past few years. With a new year on the horizon, labs will have to be adaptable [...]
CMS Announces Further Delay to Enforcement of Good Faith Estimate Requirements
On Dec. 2, the Centers for Medicare and Medicaid Services (CMS) announced that the agency would continue to postpone enforcement of good faith estimate (GFE) requirements for self-pay or uninsured [...]