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anatomic pathology services

CMS Anti-Markup Rules Target In-Office Ancillaries

CEO SUMMARY: Medicare officials are again attempting to rein in what they consider to be potentially abusive forms of in-office ancillary services, including anatomic pathology. Proposed new rules published this month would clarify and perhaps expand the application of the Medicare anti-m…

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CMS Expected to Revise Condo Lab & TC/PC Rules

CEO SUMMARY: Expectations are that the Centers for Medicare & Medicaid Services (CMS) will take further action to rein in anatomic pathology arrangements used by physicians to capture revenue from their patient referrals. This may happen as soon as next month, when CMS publishes the 2…

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Battles Continue Over Doctor Mark Up of Lab Tests

FROM THE SHADOWS OF A PARKING GARAGE, Deep Throat suggests to reporter Bob Woodward, “Follow the money.†In this scene from the movie, All the President’s Men, Woodward gets the right advice he needs from an unnamed source to pursue the Watergate case, a huge political scandal of the 1970s.  

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Federal Judge to Look at CMS Rule-Making in Anti-Markup Case

THERE’S BEEN WIDESPREAD INTEREST across the lab industry to news that on March 31, Uropath, LLC, won a preliminary injunction in its case to prevent the federal Centers for Medicare & Medicaid Services (CMS) from implementing an anti-markup regulation for patho…

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Bostwick Labs Prepares For Public Stock Offering

CEO SUMMARY: In recent years, annual revenue at Bostwick Laboratories has skyrocketed, reaching $102.8 mil- lion in 2007. Now the company, known for its national uropathology expertise, has filed documents in preparation for an initial public stock offering (IPO). Bostwick Laboratories is…

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Mich. Dermatologist Gets 10.5 Years in Fraud Case

CEO SUMMARY: In a federal case involving billing improprieties and insurance fraud, a federal judge sentenced Michigan dermatologist Robert W. Stokes, M.D., to 126 months in prison and ordered him to pay $178,100 in fines and assessments, with the amount of restitution yet to be determine…

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Powerful Trends Reshaping Anatomic Path Profession

CEO SUMMARY: THE DARK REPORT presents its newest biannual review of macro trends reshaping the anatomic pathology profession. These macro trends reveal a profession undergoing change and transformation on multiple fronts. New competitors are crowding into the market, payers and accreditin…

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February 11, 2008 “Intelligence: Late Breaking Lab News”

In an attempt to stop or delay the start of the Medicare Laboratory Competitive Demonstration Project for the San Diego-Carlsbad-San Marcos SMA (statistical metropolitan area), a lawsuit has been filed in federal court by Internist Laboratory of Carlsbad, Sharp Healthcare …

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CMS Spotlights AP as It Delays Anti-Markup Rule

CEO SUMMARY: When Medicare officials postponed implementing a new anti-markup rule late last month, it did so because of questions about how the new rule will be applied. However, the Centers for Medicare & Medicaid Services (CMS) did implement an aspect of the anti-markup rule on Jan…

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December 31, 2007 “Intelligence: Late Breaking Lab News”

There’s late-breaking news affecting new federal rules for the anti-markup provisions scheduled to become effective on January 1, 2008. Just days ago, the federal Centers for Medicare & Medicaid Services…

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