TAG:
coding and billing
Tenet’s Outlier Medicare Fees Put It in Unwelcome Spotlight
MEDICARE CODING AND BILLING policies at Tenet Healthcare Corporation have come under scrutiny by both Medicare officials and Wall Street analysts. Attention is centered around how Tenet aggressively pursued Medicare reimbursement under “outlier” formulas. These formulas are designed to supplemen…
Business Buzz Saw Hits Anatomic Path Firms
CEO SUMMARY: In recent years, both companies have enjoyed sustained and rapid growth in offering anatomic pathology (AP) services nationally. The departure of CFOs from both companies, each for different reasons, is a sign that such unbridled growth has created unique problems for each AP…
Client Bill Pricing Policy Rises To Medicare Level
CEO SUMMARY: Within the laboratory industry, there has been a decade-long debate over whether offering discount prices in client bill states could violate some Medicare regulations. UroCor, Inc. decided that an OIG opinion issued in December to a pathology company signaled a potential cha…
MTHN Provides Lessons In Creating Lab Networks
CEO SUMMARY: Every regional laboratory network in the United States is unique. Regional variations in healthcare and business objectives are different in every case. But the management problems of network structure, governance, marketing and finance are always the same. Here are some usef…
CURRENT ISSUE
Volume XXXI, No. 5 – April 8, 2024
The fragmentation of consumer markets is reflected in clinical lab services, and The Dark Report examines this trend and how it will impact labs in the coming years. Also, The Dark Report notes that the FDA has issued a controversial memo to reclassify many high-risk IVD assays.
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