Medicare Local Coverage Determinations for Genetic Testing Medicare Technical Assessment for Molecular Assays To determine coverage for genetic test Medicare LCD, the Centers for Medicare and Medicaid (CMS) requires a…
PAID Act Plus SMART Act Requires NGHPs to Report or Pay Penalties The Medicare, Medicaid and SCHIP Extension Act (MMSEA) of 2007 contains mandatory insurer reporting in Section 111 for…
Lab CPT Codes Lab CPT codes and pathology CPT codes include services primarily reported to evaluate specimens obtained from patients (body fluids, cytological specimens, or tissue specimens obtained by invasive/surgical…
1. What Does Medicare Cover under Part B? What does Medicare cover? Medicare is health insurance for: People 65 or older Under 65 with certain disabilities People of any age…
During the pandemic, when an American citizen domiciled in a state is deprived of civil rights by the state, was the deprivation of civil rights done appropriately according to the…
What Is a Formulary? In its simplest form, a formulary is a list A drug formulary is a preferred drug list. The list of medications on the formulary changes based…
In October 2020 and April 2021, the U.S. National Security Administration posted advisories regarding known vulnerabilities that Chinese and Russian hackers use to breach U.S. and other networks. Our Observations:…
Esoteric Testing Market Segments The esoteric testing market segments can be seen in their simplest form in two areas: chemiluminescence immunoassay enzyme-linked immunosorbent assay radioimmunoassay, mass spectrometry, flow cytometry, real-time…
Employer Required COVID-19 tests for employees, According to the Americans with Disabilities Act, and EEOC Laws According to the U.S. Equal Employment Opportunity Commission: An employer may administer a COVID-19…
The Supreme Court found that the U.S. Government breached a commitment to Pay $12 Billion to Health Insurers, but are these payments going to help beneficiaries? Introduction The U.S. Supreme…
This is a complex subject—first, some introductory concepts. Then, the details. In healthcare, the intersection of demand, price, quality, and suppliers' sources alone does not determine whether pricing is appropriate.[i]…
Use of Telemedicine During a Public Health Emergency DISCLAIMER This information and compliance guidance has been gathered and interpreted by No World Borders from various resources, including CMS, and Medicare…