Medicare Reimbursement: CMS Proposes to Cut Part B Payments to Physicians
The proposed PFS rule also includes other changes that will affect physician, lab, and other reimbursements in 2024 and beyond.
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Billing & Coding Alert: CMS Adds 15 New PLA Codes to Medicare Clinical Laboratory Fee Schedule
Here’s what to know about the new codes that CMS recently added to the national HCPCS table as well as which ones were removed.
Brief Your Billing & Coding Staff on New Medicare HCPCS & CLIA Code Changes
To avoid claims denials and improper billings, ensure billing and coding staff is aware of, and has adjusted to, all recent coding changes.
Medicare Reimbursement: CMS Launches New LVA Process for Settling Payment Appeals
From - National Intelligence Report
While Part B lab reimbursements may be going down, the good news is that it just became easier to challenge Medicare payment denials. Here is an overview of…
Value Care: CMS Value Modifier Programs Ends Not with a Bang but a Whimper
From - National Intelligence Report
Thanks for nothing. While CMS likes to congratulate itself for using provider pay adjustments to "transform the healthcare delivery system," more often than not…
Medicare Reimbursement: Federal Government Funding Extension Includes a Boatload of Medicare Changes
From - National Intelligence Report
The government shutdown fiasco is having an impact on Medicare spending and reimbursement. But the crucial details are being buried in the legislative paperwork…
Medicare Reimbursement: CMS Finalizes Controversial PAMA Fee Schedule
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CMS Ignores Flawed Processes, Finalizes 2018 PAMA Pricing; Labs Need to Take Immediate Action to Offset Impending Lean Times
By Kyle Fetter bio
The final 2018 clinical laboratory fee schedule (CLFS) is out, and it is evident that the argument that the Centers for Medicare & Medicaid Services (CMS) PAMA process was…
PAMA Implementation: PLA Codes for Advanced Dx Tests Are Off to a Flying Start
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OPPS 2018: Revised Payment Rates & a New ADLT Date of Service Exemption
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Billing & Coding: Proposed New Molecular Pathology Crosswalk Codes for 2018
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Medicare Reimbursements: Part B Lab Payments Slightly Down for 2016, Reports OIG
From - National Intelligence Report
The OIG released its report on Medicare Part B payments for lab tests in 2016. The punchline: Lab payments over the past three years remain incredibly consistent in terms of…
Newly Proposed PAMA Rates for 2018 Confirm Lab Industry’s Worst Fears
From - National Intelligence Report
CMS's newly issued preliminary Clinical Laboratory Fee Schedule (CLFS) for 2018 dashes the lab industry's hopes for PAMA relief by making two things…
