News
TELCOR is excited to share industry news and updates with our stakeholders across the country.
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 [...]
CMS Publishes Final Rule Streamlining Prior Authorization Process
On Jan. 17, the Centers for Medicare & Medicaid Services (CMS) announced the release of the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). The rule aims to optimize the [...]
New HIPAA Regulations Proposed for 2024 Related to Billing Records and Noncompliance Penalties
Several new Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule regulations have been proposed for 2024. According to an article published in The HIPAA Journal on Jan. 6, 2024, [...]
CMS and CDC Release Final Rule Updating CLIA Program
The Centers for Medicare & Medicaid Services and Centers for Disease Control and Prevention released a final rule on Dec. 28, 2023, updating the Clinical Laboratory Improvement Amendments of 1988 [...]
CMS Publishes Federal IDR Process Fact Sheet Explaining Fee Updates
The Centers for Medicare & Medicaid Services released a fact sheet on Dec. 18 explaining the finalized administrative and certified Independent Dispute Resolution (IDR) entity fees associated with the use [...]