CLFS Data Reporting Delayed and Review of 2021 Laboratory Costs Subject to Reasonable Charge Payment

Posted Posted in Insights, Laboratory

As discussed in several transmittals including the Quarterly Update for the Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment, the CLFS data reporting period will be delayed. To maintain compliance, it is important for labs, and healthcare regulatory and compliance professionals to be aware of the details. Also offered is […]

Molecular Testing – Why Is Reimbursement Lacking?

Posted Posted in Insights, Laboratory

Molecular diagnostic assays are one of the fastest growing segments for clinical diagnostics. Advancements in testing capabilities allows for rapid determination by simultaneously assessing multiple genes, which for some patients will have life changing effects, by identification of low prevalence inherited and environmentally induced diseases, syndromes and conditions. The advancements in testing capabilities are exciting […]

COVID-19 Codes: The Ones You Need to Know

Posted Posted in Insights, Laboratory, Uncategorized

CMS released multiple reporting codes for COVID-19 for laboratory services. We created this guide to help you understand the latest information and implications for the COVID-19 codes currently available. Fill out the form to download the article.  COVID-19 Laboratory Codes Name* First Last Email* Enter Email Confirm Email Phone* Job Title* Facility* State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of […]

Update: New CPT® Category I Codes Released for SARS-CoV-2 (Coronavirus Disease [COVID-19]) Antibody Testing

Posted Posted in Insights, Laboratory

Continuing their quick response as the COVID-19 pandemic evolves, the American Medical Association (AMA) held another special meeting of the CPT® Editorial Panel to address the immediate need for codes to report and track antibody testing specifically for SARS-CoV-2 (the virus that causes the disease COVID-19). Effective April 10, 2020, the AMA has approved the […]

Specimen Collection for COVID-19 Testing – Payment Updates

Posted Posted in Insights, Laboratory

Under the recently released Interim Final Rule from the Centers for Medicare and Medicaid Services (CMS), payment rules for specimen collection are changing for the public health emergency (PHE) caused by the COVID-19 pandemic. With this change, CMS will provide payment to independent laboratories, under certain circumstances, for specimen collection from home-bound beneficiaries or inpatients […]

Update: New CPT® Category I Code Released for SARS-CoV-2 (Coronavirus Disease [COVID-19]) Testing

Posted Posted in Insights, Laboratory

Effective March 13, 2020, the American Medical Association (AMA) has approved and released a new CPT code to report testing for COVID-19 after holding a special meeting of the CPT Editorial Panel to respond to the rapidly evolving concerns surrounding testing for this novel coronavirus. The goal with the expedited release of this new code […]