Navigate Shifting Reimbursement Criteria for Molecular Testing
At TELCOR, we’ve recently identified a notable shift in how molecular claims specifically associated with CPT code 87798, are being processed by...
Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), surveyors may now accept Primary Source Verification (PSV) as evidence of compliance with mandated personnel qualifications. A policy memorandum posted on March 26 supersedes a previously expired (as of Dec. 6, 2024) CLIA provision regarding personnel policies for individuals directing or performing nonwaived tests under CLIA regulations. If PSV is unable to verify certain required elements in the personnel regulations, it is the responsibility of the laboratory director to verify they are met by other means. PSV may be submitted for laboratory director qualifications.
No changes have been made to CLIA personnel regulations or the policy on mandatory citations.
Quality Payment Program Claim Adjustment Applied to Correct Conversion Factor
The Centers for Medicare & Medicaid Services has found a system issue related to the 2026 Medicare Physician Fee Schedule conversion factors.
Updated CDLT Data Reporting Period to Begin May 1
Effective May 1, clinical diagnostic laboratories will be required to follow new data reporting requirements for clinical diagnostic laboratory tests...