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Implementation Date Passes on Medicare Competitive Bid Project

YESTERDAY, APRIL 1, WAS THE DAY that the Centers for Medicare & Medicaid (CMS) was scheduled to implement the first sites for the Medicare Clinical Laboratory Services Competitive Bidding Demonstration project. It was good news for the laboratory industry that the day passed with…

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Evolving Strategy Guides American Esoteric Labs

CEO SUMMARY: Back in April 2004, when American Esoteric Laboratories, Inc.(AEL)launched operations, its declared ambition was to become a national esoteric testing firm. However, given the positive experiences from its acquisition of Memphis Pathology Laboratories in September 2004, AEL h…

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June 12, 2006 “Intelligence: Late Breaking Lab News”

Many changes are unfolding across the laboratory industry, so we begin with some of the more significant developments involving people: TRANSITIONS •One of clinical pathology’s respected veterans is preparing to retire. Elkin Simson, M.D., Medical Director at th…

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Coding Edits Are a Potential Hammerblow to Pathology

DURING THE NEXT SIX MONTHS, WE WILL WITNESS an intense debate between the pathology profession and the Medicare/Medicaid bureaucracy. This battle will center around the proposed MUEs (Medically Unbelievable Edits) which place restrictions on the units of service per patient per day on key CPT codes w…

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Hospital Labs Produce Moderate Cost Increases

ALL PATHOLOGISTS AND HOSPITAL LAB ADMINISTRATORS who feel beat up about endless budget cuts should take heart. During the period 2000-2002, the cost of laboratory services in hospitals increased by 18%. That is something to brag about—and here’s why! The lab services cost increase was less than …

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Entrepreneur Offers Private Pay Autopsies

CEO SUMMARY: For the past 14 years, a non-pathologist entrepreneur has enjoyed a growing business in offering autopsy services to clients willing to pay out-of-pocket. By design, the business is limited to the Southern California region. But demand in that region is enough to regularly en…

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Threat of Medicare 20% Co-pay for Lab Looms Again

BY NOW MOST OF YOU KNOW THAT THE LATEST ATTEMPT TO REINSTITUTE the 20% patient co-payment for Medicare Part B laboratory testing services was waved off in the Senate last week. But don’t relax, because similar proposals are expected to be put forward in Congress in coming months. It was a close c…

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Major Changes at Dade Behring Soon to Be Visible In Lab Market

Its recent financial restructuring now complete, Dade Behring prepares a “brand building” campaign CEO SUMMARY: Dade Behring is poised to become a tough and high-profile competitor in the laboratory diagnostics marketplace. Earlier this month,…

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Institute of Medicine Calls For 12 Medicare Lab Reforms

CEO SUMMARY: Since 1987, the clinical lab industry has endured almost non-stop cuts in the absolute level of Medicare reimbursement for lab testing. But the time may be ripe for laboratories to work together to effect far-reaching reforms to Medicare laboratory payment policies. Just as t…

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Web-based Test Ordering Is A “Tough Nut To Crack”

CEO SUMMARY: Shifting office-based physicians to Web-accessed lab test ordering proved to be a daunting task for WebMD and its early competitors. Probably the most significant discovery is that modest capabilities of existing software technology and the lack of Internet broadband connecti…

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