Resources

Industry Trends

REMINDER: UHC Genetic and Molecular Test Registration Deadline is Approaching

UnitedHealthcare (UHC) is launching an online prior authorization program for genetic and molecular testing performed in an outpatient setting for fully insured UHC Commercial Plan members.* Effective Nov. 1, 2017, participating physicians will be required to obtain prior authorization for molecular and genetic tests, selecting from a list of registered tests performed by registered laboratory […]

Continue Reading...

Seven Proposals for Red Tape Relief for Laboratories from ACLA

In July of this year, Ways and Means Health Subcommittee Chairman Pat Tiberi (R-OH) announced a new initiative, dubbed the Medicare Red Tape Relief Project, designed to “deliver relief from the regulations and mandates that impede innovation, drive up costs, and ultimately stand in the way of delivering better care for Medicare beneficiaries.” Applauding the […]

Continue Reading...

Are You Ready for the new Medicare Beneficiary Identifier?

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates that the Centers for Medicare & Medicaid Services (CMS) remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. All Medicare accounts will be updated with a new Medicare Beneficiary Identifier (MBI) beginning in April 2018, which will replace the SSN-based Health […]

Continue Reading...

CMS Updates PQRS Payment Adjustments Policy for 2017-2018

December 28, 2016 CMS Updates PQRS Payment Adjustments Policy for 2017, 2018 By: Deanna Rasch, Technical Communication Specialist On December 21, 2016, the Centers for Medicare and Medicaid Services (CMS) announced that it will not apply negative 2017 or 2018 payment adjustments to eligible individual healthcare professionals (EPs) or group practices that were unable to […]

Continue Reading...

Quadax Is Ready for PAMA Reporting

By: Jen Sprandel, Technical Communication Specialist Updated 4-2017 The Protecting Access to Medicare Act of 2014 (PAMA) revised the payment methodology for clinical diagnostic laboratory tests paid under the Medicare Clinical Laboratory Fee Schedule (CLFS). Under PAMA, CMS will base 2018 clinical laboratory fee schedule payment rates on private payer rates as reported by applicable […]

Continue Reading...
Search quadax