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lab test codes

Congress’ New SGR Law Has Mixed News for Labs

CEO SUMMARY: Once again, the lab industry faces a mixed bag following passage of a new law by Congress last week. Besides the one-year fix for the SGR, H.R. 4302 also has language that may defer adjustments to Medicare Part B lab test fees until 2017 and creates a new procedure for Medica…

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Study Reveals Medicare Already Pays Low Rates

CEO SUMMARY: Researchers studied a database containing laboratory test prices paid in 2012 on behalf of 56 million Americans covered by private health plans and determined that, for most tests, and in most regions, Medicare already pays less than private health insurers for clinical labor…

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Much Uncertainty About Pay for Molecular Codes

CEO SUMMARY: Having gone unpaid since January 1 for the 114 new molecular CPT codes, many clinical labs and pathology groups have stopped running these tests or laid off staff. Some are considering closing their doors. Evidence indicates that certain Medicare contractors are deciding that…

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Michigan’s JVHL Partners With AMA to Use LOINC

CEO SUMMARY: Office-based physicians in Michigan can use a program offered by the American Medical Association (AMA) to get assistance in adapting their electronic medical record (EMR) systems to utilize LOINC for lab test ordering and lab test results reporting. This service is …

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Ohio Hospitals Prevail in Suit Against Federal Lab Claims

IT TOOK FIVE YEARS, but federal courts finally gave victory to the Ohio Hospital Association (OHA) in its long-running battle against federal regulators over laboratory test billing issues. Early last month, the OHA signed a settlement with the federal government which resolves the …

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