UPDATE: 10/1/2024 UHC began phase 3 of the DEX Z-codes registration. "Claims eligable for phase 3 tests with dates of service on or after Jan. 1, 2025, need to include the appropriate Z-Codes to be considered for reimbursement." Genetic and pathology laboratories are...

The Centers for Medicare & Medicaid Services (CMS) has released the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) on January 17, 2024. The rule aims to advance interoperability and enhance prior authorization processes in healthcare. It...

Cigna has taken a significant step towards simplifying the healthcare process by eliminating prior authorization requirements for 25 medical procedure codes. This decision is in line with Cigna's ongoing efforts to enhance patient care and reduce administrative...

"With strong bipartisan and bicameral support of SALSA, Congress has the opportunity to fix the flawed PAMA framework and prevent reduced access to essential testing, stifled innovation, and weakened laboratory infrastructure essential to public health preparedness....

The U.S Department of Health & Human Services released a fact sheet for the transition out of the COVID-19 Public Health Emergency that will end on May 11, 2023. Transitioning away from the emergency phase of the spread of the virus will affect the billing process...