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...
1 min read
brandon.rakes Apr 28, 2025
A recent Supreme Court case is challenging access to free preventive care screenings for millions of Americans under the Affordable Care Act (ACA).
On April 21, the court heard oral arguments in Kennedy v. Braidwood Management, Inc., questioning the authority of the U.S. Preventive Services Task Force (USPSTF) to determine what preventive care services should be covered at no cost under the ACA. If this ACA provision is overturned, anything the USPSTF has recommended since 2010 would no longer be covered at no cost.
Supplemental letter briefs from both parties are to be filed by May 5, and a decision is expected by June or July. When hearing oral arguments, the justices seemed likely to uphold the USPSTF authority (see a transcript of the proceedings here).
Source:
https://www.supremecourt.gov/qp/24-00316qp.pdf
https://www.cap.org/advocacy/latest-news-and-practice-data/april-22-2025#story5

At TELCOR, we’ve recently identified a notable shift in how molecular claims specifically associated with CPT code 87798, are being processed by...
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