Saturday, October 12, 2024

CMS "Hold Harmless" Rule for Part B Fraud: They're Better at "Holding Harmless" than "Holding Responsible"

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There's been an unusual zone of activity in CMS policy, in their area of ACO and "Shared Savings" calculations when the patien...

AMA CPT Publishes New Proposed PLA Codes

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Header: AMA publishes new proposed PLA codes.  Public comment is possible.  Final results will be released 12/31/2024. ## Every quarter, AMA...
Thursday, October 10, 2024

Multiple MACs Quickly Finalize New LCD for AI Assisted Coronary Angiography

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HEADER: On October 10, 2024, several MACS - NGS MAC, Palmetto, CGS, Noridian, and WPS MACs - all finalized a new complex LCD for AI-assisted...
Tuesday, October 8, 2024

A Bible for Labs Facing FDA IVD Regulations: From CLSI

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One of the interesting parts of the proposal to regulate LDTs via the FDA medical device manufacturing laws, is the degree of overlap with C...

FDA LDT: Two New Amicus Briefs

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The FDA brought out its final rule about regulating lab developed tests in May.   Within a month, ACLA had filed a lawsuit.   By late summer...
Monday, October 7, 2024

MAC Medical Directors: CMS Updates Directory (2024-06)

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CMS publishes an Excel directory of current MAC medical directors. See the June 2024 update: https://www.cms.gov/medicare/coverage/infoexcha...
Friday, October 4, 2024

AHRQ: Bonanza of Information Related to Sepsis

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Header: AHRQ has released a Report to Congress on Sepsis, as well as supporting a bundle of new hospital policy articles on the topic. ## Ab...
Thursday, October 3, 2024

CMS Posts Transcript of Sept. 23 TCET Webinar.

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HEADER: CMS held a webinar on September 23, 2024, to explain operations of the "TCET" NCD CED program which was announced on Augu...