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“Applicable Labs”: The Fly in the PAMA Market-Based Pricing Ointment

“Applicable Labs”: The Fly in the PAMA Market-Based Pricing Ointment

by | Oct 23, 2017 | CMS-lir, Essential, Fee Schedules-lir, Health care reform-lir, Laboratory Industry Report, Reimbursement-lir

From - Laboratory Industry Report
The lab industry has no objection to basing Medicare payments for lab tests on the actual rates charged to payors in the private market. What has the industry so upset is how…


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Palmetto Gives Okay to Medicare Coverage of 5 New Molecular Tests

Palmetto Gives Okay to Medicare Coverage of 5 New Molecular Tests

by | Jul 17, 2017 | Essential, Industry Buzz-lir, Laboratory Industry Report, Reimbursement-lir

From - Laboratory Industry Report
Medicare contractors are slowly coming around on covering unproven molecular assays. The most notable new baby steps come from, Palmetto GBA (Columbia, SC), one of Medicare's most important contractors in the form of…


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