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ICD-10

Lab Data Crucial to Insurer Risk Adjustment Models

CEO SUMMARY: Payers who use risk adjustment models as part of Medicare Advantage need diagnostic data that helps them document ICD-10 diagnoses that earn them higher premium payments for sicker pat…

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New Lab, Pathology Trends at Executive War College 2021

CEO SUMMARY: Hundreds of lab leaders traveled to San Antonio last week for the 27th annual Executive War College on Laboratory and Pathology Management. After almost two years of virtual conference and meetings using Zoom, attendees were ready to gather for a live event, complete with speakers,…

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Anatomic Pathology Profession Faces Challenges, Opportunities

CEO SUMMARY: For 10 years, three primary trends have reshaped the anatomic pathology profession. They are declining reimbursement, competition from physicians establishing in-office pathology labs, and a host of new government laws and regulations. More changes are coming, predicts one bu…

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Newsmaker Interview: Matthew Hawkins

CEO SUMMARY: By now, most pathologists and clinical laboratory administrators recognize that effective use of information technology will be a critical success factor as healthcare systems transform to do population health management and to use “big data” with value-based payment mode…

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Lab Industry’s Non-Stories for 2015

AT THE END OF EACH YEAR, IT IS GENERALLY EASY TO PICK OUT the stories of greatest significance for the lab industry during the previous 12 months. But what is often overlooked are the non-stories. These are the events that did not happen in the year, despite earlier occurrences and the momentum pushi…

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September 14, 2015 Intelligence: Late Breaking Lab News

There is a new national group that has the goal of addressing diagnostic errors in medicine. It is called the Coalition to Improve Diagnosis and became opera- tional last month. The new group was organized by the Society to Improve Diagnosis in Medicine (SIDM). Eleven organizations are …

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Are Clinical Labs and MACs Ready to Implement ICD-10?

ARE CLINICAL LABORATORIES and pathology groups prepared for ICD-10? Or, perhaps a better question to ask is this: Are Medicare administrative contractors prepared to switch to ICD-10 on October 1? A recent survey of clinical laboratories and pathology groups by McKesson Corporation showed th…

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New Federal Law Changes How CMS Sets Lab Prices

CEO SUMMARY: CMS wanted more power to cut the prices it pays for clinical lab testing. A significant part of the lab industry wanted more transparency and consistency in how CMS established coverage guidelines and prices for new lab tests. Congress appears to have attempted to craft a law…

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Meaningful Use Stage 2 to Challenge Labs in 2014

CEO SUMMARY: On December 6, the Centers for Medicare & Medicaid Services proposed to delay implementation of Meaningful Use (MU) Stage 2 until 2016. One reason is that only about 80 vendors have certified their products to MU Stage 2. That is a small proportion of the almost 900 vendo…

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May 14, 2012 “Intelligence: Late Breaking Lab News”

Mayo Clinic is taking steps to more fully integrate its laboratory informatics. In a press release dated April 27, 2012, it stated that it had completed a multi- year implementation of a new laboratory information system (LIS). The new LIS supports both the Department of Laboratory M…

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