Billing News Oct 2018



Trump admin awards over $1 billion in grants to fight opioid epidemic

  • October 5, 2018

The Department of Health and Human Services (HHS) announced Wednesday that it has awarded more than $1 billion in grants to states, communities and organizations fighting the opioid crisis. The vast majority of that funding — $930 million — is intended to support states' efforts to provide treatment and prevention services to combat opioid abuse.

Read



House of Representatives Approves NIH Funding Increase

  • October 5, 2018

The US House of Representatives last night approved an appropriations bill that includes a $2 billion increase in fiscal year 2019 funding for the National Institutes of Health to $39.1 billion. The bill — which represents the fourth consecutive annual funding increase for the NIH — specifically calls for an additional $425 million for Alzheimer'...

Read



District Court Sides With HHS in Lab Association Suit Challenging Payment Rates

  • October 5, 2018

A federal district judge dismissed the American Clinical Laboratory Association's (ACLA) lawsuit over federal reimbursement changes and new data collection requirements, citing a “lack of subject matter jurisdiction.” 

Read



AMA Releases 2019 CPT Code Set

  • October 5, 2018

The American Medical Association (AMA) (@AmerMedicalAssn) announced the release of the 2019 Current Procedural Terminology (CPT®) code set. There are 335 code changes in the new CPT edition reflecting the CPT Editorial Panel and the health care community’s combined annual effort to capture and describe the latest scientific and technological...

Read



State of California Funds $2M Whole-Genome Sequencing Pilot for Sick Newborns at Rady Children's

  • October 5, 2018

Rady Children's Hospital San Diego said today that it is launching a pilot project, funded with $2 million from the California Medical Assistance Program (Medi-Cal), to offer rapid whole-genome sequencing for critically ill newborns.

Read



Palmetto Final LCD Denies Coverage to Large Respiratory Panels

  • October 5, 2018

Palmetto GBA finalized local coverage determinations for viral respiratory panels yesterday, determining that the use of small multiplex viral panels in susceptible populations may be reasonable and necessary, but the use of highly multiplexed nucleic acid amplification tests as front-line diagnostics cannot currently be justified. The measure...

Read



MolDX Local Coverage Determination (LCD) Updates

  • October 5, 2018

The following A/B MAC LCDs were revised: Controlled Substance Monitoring and Drugs of Abuse Testing L35724 Flow Cytometry L34513 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing L35072 To view the LCD(s), go to www.PalmettoGBA.com/jma/lcd or www.PalmettoGBA.com/jmb/lcd, www.PalmettoGBA.com/jja/lcd, and www.PalmettoGBA.com/jjb/lcd...

Read



MolDX Local Coverage Determinations - Notice Period

  • October 5, 2018

The MolDX: Corus CAD Assay L37612 A/B MAC LCD will begin its notice period September 20, 2018. The notice period will end November 4, 2018. Any revisions made will become effective November 5, 2018.

Read