On May 2, CMS Administrator Seema Verma announced the Trump Administration’s “comprehensive strategy” to foster innovation for and improve patient’s access to transformative medical technologies. The strategy, detailed by Administrator Verma in a speech at the Medical Device Manufacturers Association (MDMA) Annual Meeting, is based on two specific changes related to coding. CMS says that [...] Read More
Late Friday evening, the Centers for Medicare & Medicaid Services (CMS) released their long-awaited preliminary private rate-based clinical laboratory fee schedule rates. These rates begin to implement section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA) by establishing new clinical laboratory fee schedule (CLFS) payment rates for diagnostic tests paid by Medicare […]
Read MoreThis year’s HCPCS Public Meeting is providing a master class in some of the common challenges inherent in billing and coding, and how those challenges impact payment policy and, ultimately, utilization of products. Day 2 featured lessons in separate payment for products used in conjunction with services, and appropriate payment when multiple products share the […]
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