The operational and reimbursement challenges that persist at scale, and the strategies that help address them.
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Discover the latest news, trends, and best practices in revenue cycle management for lab and diagnostic providers, including coding, billing, and collections.
Prior authorization has become one of the most significant operational challenges facing diagnostic laboratories. As testing becomes more complex and payers tighten requirements, the process has evolved into a critical function that directly impacts patient care, provider workflows, and revenue cycle performance.
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Congress recently passed short‑term PAMA relief, delaying rate cuts for one year and shifting the next private payer data‑collection period to January–July 2025, with reporting beginning May 2026. While helpful, long‑term reform is still needed, and momentum is growing behind the bipartisan RESULTS Act. In this on‑demand session, ACLA President Susan Van Meter and ACLA General Counsel Joyce Gresko explain what these changes mean for labs, with moderation by Tom Cronin, SVP at Quadax.