News
TELCOR is excited to share industry news and updates with our stakeholders across the country.
CMS Announces Updates to NCD Codes and Electronic Funds Transfer Application
The Centers for Medicare & Medicaid Services announced changes to the electronic funds transfer application for Medicare payments and the laboratory national coverage determination (NCD) edit software. Effective May 1, [...]
HHS, Labor, and Treasury Publish Short-Term, Limited-Duration Insurance Final Rule
The Departments of Health and Human Services, Labor, and the Treasury released a final rule on March 28 regarding short-term, limited-duration insurance (STLDI) and fixed indemnity insurance. The final rule [...]
Congressional Hearing Expounds Need for Legislative Action on LDT Regulation
The House Energy and Commerce Subcommittee on Health held a hearing on Thursday, March 21, to evaluate approaches to diagnostic test regulations and the recently proposed rule from the U.S. [...]
House Energy and Commerce to Hold Subcommittee Hearing on Diagnostic Test Regulation
The House Energy and Commerce Subcommittee on Health will convene a hearing on March 21 on diagnostic test regulation and the impact of the U.S. Food and Drug Administration proposed [...]
CAP Calls on CMS to Revise Local Coverage Determination Process
The College of American Pathologists (CAP) sent a letter to the Centers for Medicare & Medicaid Services (CMS) on Feb. 23 urging a revision of the local coverage determination (LCD) [...]
UnitedHealthcare Stresses Compliance With Z-Code Requirements Ahead of Deadline
UnitedHealthcare (UHC) will enforce compliance with new DEX Z-code requirements for molecular diagnostic testing on April 1. The DEX Z-code submission process for claims will take place in phases, with [...]
New Jersey State Legislature Passes Prior Authorization Bill
The New Jersey State Legislature passed the “Ensuring Transparency in Prior Authorization Act” (A1255) in January to update prior authorization requirements and standards. The legislation, effective Jan. 1, 2025, requires [...]
CMS Updates CLFS Specimen Collection Fees and Travel Allowances for CY 2024
Effective Feb. 7, the Centers for Medicare & Medicaid Services (CMS) has implemented updates to its specimen collection fees and travel allowances for laboratories under the Clinical Laboratory Fee Schedule [...]
UHC Announces Effective Date for Policy Requiring DEX Z-Codes for Molecular Pathology Tests
UnitedHealthcare announced its policy requiring DEX Z-Codes for molecular diagnostic testing will be effective for dates of service on or after April 1, 2024. “The policy will require the submission [...]
CMS and FDA Release Joint Statement in Support of FDA Oversight of Laboratory-Developed Tests
Leaders from the U.S. Food and Drug Administration and Centers for Medicare & Medicaid Services (CMS) released a statement on Jan. 18 expressing joint support for increased FDA oversight of [...]