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

Volume XXVIII, No. 9 - July 6, 2021

Interesting New Surprises for Lab Leaders

Commentary and Opinion by R. Lewis Dark / By R. Lewis Dark

Unexpected and surprising things continue to happen in the clinical laboratory industry. You might consider that to be one unifying theme to the intelligence briefings we present in this issue of The Dark Report. For example, a pathology lab company in New Jersey sued UnitedHealthcare (UHC) seeking payment for 46,400 molecular COVID- 19 test claims …

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Genesis Lab Lawsuit Pursues UnitedHealth Over Unpaid Test Claims

TDR Insider / By Robert Michel

This is an excerpt of a 1,946-word article in the July 6, 2021 issue of THE DARK REPORT (TDR). The full article is available to members of The Dark Intelligence Group. CEO SUMMARY: New case law in how health insurers should reimburse for COVID-19 lab test claims might be one outcome of Genesis lab’s lawsuit …

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NJ Lab Sues UnitedHealth Over Unpaid Test Claims

Laboratory Billing / By Robert Michel

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 Robert Michel

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 Robert Michel

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 Robert Michel

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 Robert Michel

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 Robert Michel

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 Robert Michel

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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