Since 1995, Reliable Business Intelligence for Clinical Laboratories, Pathology Groups and Laboratory Diagnostics

August 2007

EMR Links as Labs’ Next Competitive Advantage

WE ARE CAREFULLY TRACKING THE ACCEPTANCE AND USE of electronic medical record (EMR) systems by office-based physicians. It is an important trend, one that is both an opportunity and a threat for regional laboratories. As you will read on pages 3-6, once physicians install and begin to use EMR in their daily practice, literally the …

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Getting Connected: Labs Find Value in EMR Links

CEO SUMMARY: As physicians deploy electronic medical record (EMR) systems, they quickly ask their laboratory for electronic results reporting directly into the EMR. Later, these doctors will ask for electronic test orders from their EMR. Savvy labs are using this opportunity to develop closer business relationships with their clients. Two experts in the EMR field …

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Michigan Derm Convicted On 31 Fraud Charges

CEO SUMMARY: Last year, dermatologist Robert W. Stokes, D.O., of Grand Rapids, Michigan, was indicted by the federal government for 72 counts relating to various offenses, including upcoding, and improper coding. Of this total, 35 counts against Stokes involved his billing payers for laboratory tests he did not perform and laboratory services that he did …

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Lab Billing Indictments Underscore Docs’ Risks

CEO SUMMARY: Physicians should consider the precedent established recently when the U.S. Attorney for the Western District of Michigan obtained a 72-count indictment against a local dermatologist, including 35 counts of submitting fraudulent claims for lab tests he did not perform, as well as laboratory services he did not render. One legal expert considers this …

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Path Group Responds to FBI Visits in Stokes Case

CEO SUMMARY: As the FBI launched its investigation of fraudulent billing by Michigan dermatologist Robert W. Stokes, D.O., two years ago, staff at several pathology labs found themselves “up close and personal” with federal healthcare fraud prosecutors. One pathology lab, based on what it learned, decided to revamp its compliance program. It ceased deep discounts …

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Are Feds Ready to Strike at TC/PC Arrangements?

CEO SUMMARY: Pathologists and laboratory directors will want to pay attention to the proposed rules published by the Centers for Medicare and Medicaid Services on July 2, 2007. The document is a grab bag of proposals and rules that would significantly curb many common ancillary services arrangements now used by physicians to capture revenue. Diagnostic …

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August 27, 2007 “Intelligence: Late Breaking Lab News”

Something different is happening when the Associated Press does a story about how the American Clinical Laboratory Association (ACLA), a lab industry trade group, has spent money lobbying Congress. The Associated Press used federal records to confirm that ACLA, paid $140,000 to Alston & Bird LLP, a law firm with offices in Washington, D.C., and …

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Competing Against Regional Laboratories

SINCE THE 1980S, THERE HAS BEEN COMPETITIVE TENSION between publicly traded laboratory companies and their regional counterparts—both independent labs and hospital laboratory outreach programs. It’s an understatement to say that both sectors of the laboratory community often wish the other was not around. During the past 20 years, each class of laboratories has bedeviled the …

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Siemens Acquires Dade, Builds IVD Powerhouse

CEO SUMMARY: In just 15 months, Siemens AG has pulled out its checkbook three times to spend more than $14 billion to acquire major in vitro diagnostics (IVD) companies. When it closes the purchase of Dade Behring, Siemens will be in the first rank of global IVD manufacturers. It has also declared that it is …

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Quest, LabCorp Slug It Out In Battle for Market Share

CEO SUMMARY: In reporting second quarter earnings, both Laboratory Corporation of America and Quest Diagnostics Incorporated discussed market developments. There were no surprises in the comments made by executives of both companies. Quest Diagnostics emphasized that it is hanging on to a significant amount of the pull-through testing associated with UnitedHealth business. LabCorp acknowledged that …

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