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July 2021

NJ Lab Sues UnitedHealth Over Unpaid Test Claims

Laboratory Billing / By

CEO SUMMARY: New case law in how health insurers should reimburse for COVID-19 lab test claims might be one outcome if a New Jersey lab company were to prevail in a federal lawsuit it filed against UnitedHealthcare alleging non-payment of COVID-19 test claims. An interesting fact mentioned in court records is that the health insurer …

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Labcorp Now Using AI for Operations, Patient Care

Laboratory Equipment / By

CEO SUMMARY: In recent years, Labcorp invested significant sums to use artificial intelligence and machine learning technologies—often integrated with robotic systems—to improve work processes and gain real-time insights from vast amounts of data. In this exclusive interview, Lance Berberian, Labcorp’s Chief Information and Technology Officer, discussed several of the successes the lab company is having …

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XIFIN to Open New Office in South Carolina for Lab Billing

Laboratory Billing / By

SINCE FEBRUARY, THE TOTAL NUMBER OF PEOPLE VACCINATED grew steadily even as the number of tests for COVID-19 declined sharply in the United States. But overall test volume has remained steady at 130% of pre-pandemic levels, said Brian Kemp, Vice President of Revenue Cycle Operations for XIFIN, a revenue-cycle management company for clinical laboratories. Such …

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Amazon Now Interested in Home Testing Services

Clinical Laboratory Trends / By

CEO SUMMARY: In the past year, internet retailing giant Amazon has built sizeable clinical laboratories in the United States and the United Kingdom. Now it has regulatory clearance to sell a molecular COVID-19 test to consumers for home collection. Comments made in the past month by an Amazon spokesperson describe Amazon’s diagnostic testing activities as …

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CMS Shuts Missouri Lab Due to ‘Immediate Jeopardy’

Laboratory Compliance / By

CEO SUMMARY: CMS ordered Gamma Healthcare to close its two labs, revoked the owners’ CLIA licenses, prohibited them from operating a lab for two years, and ordered payment of more than $55,000 in civil penalties. The two lab facilities had been running COVID-19 and other tests for about 2,500 nursing homes in 11 states. This …

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Benefits Investigation Is Growing Issue for Genetic Testing Labs

Uncategorized / By

QUIETLY AND WITH LITTLE NEWS COVERAGE, a new complication is challenging clinical laboratories that offer genetic testing. It involves a steady growth in the number of patients who do a “benefits investigation” before allowing their physician to order a genetic test.  Benefits investigation is the “term of art” that describes a patient (or provider) who …

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July 6, 2021 Intelligence: Late-Breaking Lab News

Late Breaking Lab News / By

Did the SARS-CoV-2 virus infect people in the United States earlier than the first case diagnosed on Jan. 19, 2020? A newly-published study in Clinical Infectious Diseases, says there is evidence of COVID-19 infections in December 2019. The research team included scientists from the National Institutes of Health. The source of the specimens was the …

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