TAG:
Medicare
SALSA Bill Resurfaces, Poised to Reduce Upcoming PAMA Cuts
By Scott Wallask | From the Volume XXX, No. 14 – October 2, 2023 Issue
ANOTHER ROUND OF STIFF PRICE CUTS TO THE MEDICARE PART B CLINICAL LABORATORY FEE SCHEDULE (CLFS) is just months away, with the provisions of the Protecting Access to Medicare Act (PAMA) set to resume on Jan. 1. In…
Private Health Insurers Are Aware of Problems with CPT Code 81408
By Virchow | From the Volume XXX, No. 13 – September 11, 2023 Issue
EDITOR’S NO…
Provider Price Transparency Trend Has New Twist
By R. Lewis Dark | From the Volume XXX, No. 12 – August 21, 2023 Issue
IT’S NOT JUST PATIENTS WHO ARE TYPICALLY UNABLE TO SEE PRICES FOR THEIR MEDICAL CARE IN ADVANCE OF SERVICE. Guess who else is unhappy that they cannot access the prices charged by hospitals, physicians, and other pro…
Hospital Lab Outreach Selloffs Continue with Labcorp as Buyer
By Scott Wallask | From the Volume XXX, No. 11 – July 31, 2023 Issue
OVER THE LAST FEW MONTHS, Labcorp has shaken up the hospital laboratory market in the Pacific Northwest, particularly as it concerns lab outreach services. …
With Z-codes, Will Other Payers Follow UnitedHealthcare’s Lead?
By Virchow | From the Volume XXX, No. 11 – July 31, 2023 Issue
EDITOR’S NOT…
HCCI Reports Higher Prices for Hospital Outreach Tests
By Robert Michel | From the Volume XXX, No. 10 – July 10, 2023 Issue
CEO SUMMARY: It’s another shot across the bows to hospital and health systems that use inpatient test prices when billing health insurers for outpatient/outreach lab tests. In its report, the Health Care Cost Institute documents how these hospital l…
Technical Assessment Challenges for Z-Code Applications
By Scott Wallask | From the Volume XXX, No. 10 – July 10, 2023 Issue
CEO SUMMARY: Effective on Aug. 1, UnitedHealthcare will require Z-code submissions for many genetic tests. During a recent webinar, experts tackled a topic that may prove troublesome for labs seeking Z-codes: technical assessments. Key advice is to provide specific data about clin…
UnitedHealthcare’s Z-code Policy Starts on Aug. 1
By Robert Michel | From the Volume XXX, No. 10 – July 10, 2023 Issue
CEO SUMMARY: UnitedHealthcare’s (UHC) response to the ever-growing number of unique genetic tests and the continuing growth in the volume of those claims is a new policy. Effective Aug. 1, UHC will require a Z-code with genetic test claims. This req…
Expect More Z-code Requirements for Genetic Tests
By R. Lewis Dark | From the Volume XXX, No. 9 – June 19, 2023 Issue
GENETIC TESTING COMPANIES ARE STILL REACTING TO LAST MONTH’S NEWS that one of the nation’s largest health insurers—UnitedHealthcare (UHC)—will require Z-codes for molecular test claims submitte…
Digital Pathology Business Plan for Both Clinical and ROI Success
By Kristin Althea O’Connor | From the Volume XXX, No. 9 – June 19, 2023 Issue
CEO SUMMARY: More pathology groups are ready to consider adopting whole-slide imaging and digital pathology. The decision to proceed should only be made after identifying the clinica…
CURRENT ISSUE
Volume XXXI, No. 6 – April 29, 2024
Laboratory managers will want to note that The Dark Report itself was targeted by the fraudsters who hit Change Health in a cyberattack. Also, one lab has some innovative methods of combatting the chronic staffing shortage, including hiring college graduates and students.
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