Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
When Software Stopped Being a Lab Test: How the CY2027 OPPS Rule’s Software as a Medical Service Category, the O1 Status Indicator, and Pulling Lab AI Off the CLFS Reshape Health Tech Investing
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When Software Stopped Being a Lab Test: How the CY2027 OPPS Rule’s Software as a Medical Service Category, the O1 Status Indicator, and Pulling Lab AI Off the CLFS Reshape Health Tech Investing

Medicare just created the first formal reimbursement category for clinical AI. It is called Software as a Medical Service, and it comes with its own payment status indicator: O1. This is bigger than it sounds. Thread.

CMS proposes to tag 36 billing codes as SaMS and park them in New Technology APCs. The codes cover coronary CT analysis, quantitative brai…

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