CEO SUMMARY: As the debate grows more heated, supporters of hospital outpatient department (HOPD) billing schemes have ramped up their defense of the practice. The president of the National Association of Rural Hospitals tells THE DARK REPORT that rural hospitals are permitted to bill for hospital lab outreach program services under Medicare’s 70/30 shell rule.
Tag: hospital billing
CEO SUMMARY: In recent years, many rural hospitals have entered into agreements to expand their laboratory outreach businesses. In an interview, the president of the National Association of Rural Hospitals said rural hospitals often bill for lab outreach services under Medicare’s 70/30 shell rule. This rule, as modified by the Omnibus Budget Reconciliation Act of
CEO SUMMARY: For decades, hospitals were reluctant to allow any outside lab company to run their inpatient lab operations because they preferred to maintain control over quality results and turnaround times. That attitude may be changing as health systems face increasing margin compression by moving to value-based reimbursement models and taking on more risk-based contracts.
LAST MONTH, A FEDERAL JUDGE RULED that St. Luke’s Health System of Boise, Idaho, violated antitrust laws when, in 2012, it acquired Saltzer Medical Group, the largest independent medical practice in the state.
In ruling against the merger of a hospital and physician group, the judge said that the combined entity violated antitrust law and would
“For 20 years, our regional laboratory network here in Detroit has played an important role in helping member hospital laboratories build their lab outreach programs.”
—Jack Shaw, Executive Director, Joint Venture Hospital Laboratories
CEO Summary: During the 1990s, hospital laboratories in Detroit, Michigan (1992), and Seattle, Washington (1996), banded together to form regional laboratory networks. In both
CEO SUMMARY: Pity the poor laboratory manager of today. Lab budgets are shrinking. It is difficult to staff adequate numbers of skilled medical technologists. Baby boomers are now retiring. At the same time, accreditation and licensure inspections are becoming tougher. Recently, an experienced laboratory management consultant polled her peers to identify the specific problems that
CEO SUMMARY: Some laboratories continue to offer deeply-discounted prices to the nation’s largest managed care plans as a way to maintain provider status and keep market share. In one case, these deep discounts surprised a long-time lab executive, who decided to share the information, along with his comments. Among his concerns is how such situations
HOW HOSPITALS BILL and collect from uninsured patients is becoming a national issue.
The latest shot fired is a ruling by the Illinois Department of Revenue revoking the state property tax exemption of Provena Covenant Medical Center, located in Urbana, Illinois. The hospital site and another 20 parcels of land owned by the hospital were declared
SCANDAL AT HBO & CO. TAINTS MCKESSON HBOC
FIVE EXECUTIVES WERE SACKED by McKesson HBOC Inc.’s Board of Directors last month in response to allegations of financial improprieties.
All five were employed by HBOC prior to its acquisition by McKesson last year. The terminations were accompanied by the resignation of McKesson’s CEO, Mark Pulido, and CFO, Richard
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 useful lessons learned by the Middle Tennessee Healthcare Network.
PROBABLY NO OTHER laboratory industry