Compliance

    Clinical Laboratory Improvement Amendments (CLIA)

    The Clinical Laboratory Improvement Amendments (CLIA) establish federal quality standards for laboratory testing performed on humans for health assessment or to diagnose, prevent, or treat disease. CMS administers the CLIA certification program based in part on test complexity.

    Definition

    The Clinical Laboratory Improvement Amendments (CLIA) establish federal quality standards for laboratory testing performed on humans for health assessment or to diagnose, prevent, or treat disease. CMS administers the CLIA certification program based in part on test complexity.

    Why it matters

    A home health or hospice organization that performs laboratory testing, including applicable waived testing, must determine and maintain the appropriate CLIA certificate and follow the requirements for its testing activities.

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    Texas Home Health Payer Contracting Playbook

    When a Texas payer says “our network is closed,” it doesn’t mean every door is shut. This playbook explores three paths to pursue payer contracts, access referral networks, and secure out-of-network payments. Learn which three numbers payers check first, and how to build a stronger case for your agency.

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    Conversations on compliance

    Episodes from Inside Home Health that put Clinical Laboratory Improvement Amendments (CLIA) in operational context.

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