The policy directed FDA not to enforce premarket review requirements for LDTs. HHS said this move will help to ensure Covid tests are more reliable.
I believe the revenue world of pathology is currently in a pinch point, an area of extreme danger which will change the industry going forward.
One year after Congress delayed planned fee schedule cuts due to the Covid-19 pandemic, it appears pathologists and other specialists are now going to experience payment reductions designed to offset boosts for evaluation and management (E/M) services in 2022, according to the Medicare Physician Fee Schedule (MPFS) Final Rule released Tuesday.
The following are 2022 Current Procedural Terminology (CPT) coding updates for pathology consultations.
I heard the phrase “post pandemic” this week and thought to myself, “Are we ever going to be in a post-pandemic state, or has the world changed?” As I have said all along, things seen cannot be unseen. I think we are going to be living in a Covid world going forward.
I like to look at health care like my old computer. There is a software side and a hardware side. The software to me, is the vaccines, drugs and treatments of a disease. The hardware is the tests and diagnostic tools.
The following updates and revisions for Covid-19-related codes became effective Oct. 1, 2021:
After holding off on the move during the summer amid significant pushback from pathology and lab advocates, Cigna appears to again be moving forward with its plan to end reimbursement for the professional component of clinical pathology (PC/CP) beginning Nov. 1, 2021.
Aetna has announced timely filing limits for non-participating providers will be reduced from 27 months to 12 months for traditional medical claims beginning Jan. 1, 2022.
Medicare open enrollment begins Oct. 15 and runs through Dec. 7. If you have elderly parents, aunts, uncles, or friends, talk to them about changes they want to make.
Given this news, now would be a great time to review your test compendium and payer mix. Are there any qualifying tests that need to be registered on the MolDX?
The Covid-19 Coverage Assistance Fund was created to cover the cost of administering the vaccine to patients whose insurance doesn't cover vaccination.
Health care providers who received distributions from the Health and Human Services Provider Relief Fund between April 1 and June 30, 2020, must submit their first report on use of those funds by Sept. 30, 2021.
With Covid-19 vaccines now readily available, most private payers have moved to reinstate cost sharing for Covid-19-related hospitalizations and treatments.
“This is not the same Covid as last year and there are treatment implications with each variant,” says Dr. William Budd. “The severity of the strain of Covid can vary. It is medically significant to know if your patient has an aggressive variant vs. a less aggressive variant.
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