On January 1, Medicare adopts the AMA’s unbundled maternity care codes. CMS released its 2027 Physician Fee Schedule final rule on November 4 without the 15 Medicare-only G-codes it had proposed in...
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Blogs
HHS & CMS Secure Major Reforms to Prior Authorization
ON THIS PAGE What HHS and CMS Are Doing Context: Building on Earlier Reforms Implications for Laboratory Professionals Implications for OB/GYN Physicians Bottom LineDate: June 23, 2025 (U.S....
UnitedHealthcare’s Z-Code Requirement for Genetic Testing Claims Impacts Laboratories and Payers
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...
CMS Makes Improvements to Prior Authorization Process
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...
Cigna Announces Rollback of Prior Authorization Requirements
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...
Why and How Your Lab Can Support SALSA
"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...
How Labs Are Affected by the End of the COVID-19 Public Health Emergency
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...