Latest News

Medi-Cal rate methodology boosted under new law

California pathologists who have grown frustrated with retroactive recoupments from Medi-Cal in recent years due to their outdated rate-setting methodology now have some relief after California Gov. Gavin Newsom signed a comprehensive health care budget bill (AB 133) on July 27.

Final 2020 MIPS scores now available for review

oviders who participated in the 2020 MIPS Performance Period may now view their final scores. Participants also now have the option to request a targeted review if they believe any errors were made in calculating their bonus or penalty for the 2022 payment year.

Opinion: Is healthcare set to face a pandemic bubble?

In 2020 and early 2021, more than $4 trillion was pumped directly into society, including funding for healthcare providers and facilities. While most Americans spent last year wondering if the world was collapsing, healthcare had one of its best years ever.

2022 Proposed MPFS: See impact to pathology, labs

Pathologists and independent laboratories will experience a handful of significant payment reductions for key services if CMS adopts changes released Tuesday in the 2022 Medicare Physician Fee Schedule (MPFS) Proposed Rule.

Covid Billing

UHC eliminates some OON non-emergency coverage

As part of a new policy update, UnitedHealthcare will no longer cover non-emergency services members receive from out-of-network facilities outside their service area, effective July 1.

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