What's in Store for Radiology in the 2023 Medicare Proposed Rule?

  • Aug 5, 2022

CMS declined to include CT colonography coverage in the MPFS, while it expanded coverage for traditional colonoscopy. The MPFS regulates the Medicare fee schedule payment provisions as well as the Quality Payment Program (QPP). MPFS Payment Provisions If the overall payment adjustment in the proposed rule remains unchanged by Congressional intervention, radiology will suffer cuts across the...

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NCCN Updates Guidelines on Breast Cancer Screening

  • Aug 5, 2022

The National Comprehensive Cancer Network (NCCN) has published new patient guidelines for breast cancer screening. The new guidelines reinforce the group's previous guidance that breast screening start at age 40. The guidelines also encourage women to undergo a risk assessment for developing breast cancer beginning at age 25, then start annual screening at age 40. Additionally, the guidelines...

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UHC Commercial – Modifier Policy Facility

  • Aug 5, 2022

Effective Oct. 1, 2022

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Proteomic Map of Hundreds of Cancer Cell Lines Helps Discover New Biomarkers

  • Aug 5, 2022

Researchers have generated a pan-cancer proteomic atlas of cancer cell lines that shows the cancer proteome can be interrogated to find vulnerabilities, including drug sensitivities. Using a data-independent acquisition mass spectrometry (DIA-MS) approach, the team generated the proteomes of nearly 950 cancer cell lines, representing more than 40 different cancer types, a resource they have...

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California, Illinois Declare Monkeypox Health Emergencies

  • Aug 5, 2022

Officials in California and Illinois have declared public health emergencies over spread of the monkeypox virus in their states. In an effort to advance the state's inoculation drive, California Gov. Gavin Newsom said his declaration enables Emergency Medical Services personnel to administer doses of the FDA-approved monkeypox vaccine. "California is working urgently across all levels...

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Clinical Laboratory Improvement Amendments of 1988 (CLIA) Fees; Histocompatibility, Personnel, and Alternative Sanctions for Certificate of Waiver Laboratories

  • Aug 5, 2022

This proposed rule would update the Clinical Laboratory Improvement Amendments of 1988 (CLIA) fees and clarify the CLIA fee regulations. This proposed rule includes a proposal to provide sustainable funding for the CLIA program through a biennial two-part increase of CLIA fees. Proposing to incorporate limited/specific laboratory fees, including fees for follow-up surveys, substantiated complaint...

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Proposed Medicare Physician Fee Schedule Includes Payment Cuts

  • Aug 5, 2022

The Centers for Medicare and Medicaid Services (CMS) released the 2023 Physician Fee Schedule (PFS) proposed rule, and medical associations are not happy with the proposed changes. Namely, the 2023 plan would actually cut payments by 4.4%, as the proposed calendar year 2023 PFS conversion factor is $33.08, a decrease of $1.53 to the 2022 PFS conversion factor of $34.61.  Physician services...

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ESMO Releases Guidelines for Liquid Biopsy Testing in Cancer Patients

  • Aug 5, 2022

Developed by the society's Precision Medicine Working Group and published in the ESMO journal Annals of Oncology, the new recommendations endorse liquid biopsies as a standard of care for genotyping and treatment selection for many patients with advanced cancer. Tests that are validated and properly sensitive "may be used in routine clinical practice, provided the limitations of the assays...

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