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Illinois Pathologists Dodge Medicaid CP Payment Cut

CEO SUMMARY: Pathologists in Illinois acted swiftly to this month’s announcement that the Illinois Medicaid program would cease to directly pay pathologists directly for clinical pathology professional services. The new policy was to take effect on October 1, 2008. As t…

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ISO 15189 Is the Goal at Avera McKennan Lab

CEO SUMMARY: Now entering its ninth month on the path to accreditation under ISO 15189:2007 Medical Laboratories, Avera McKennan’s lab recently completed its “gap analysis.” This important step prepared the laboratory for the pre-assessment and assessment steps that will result in a…

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August 18, 2008 “Intelligence: Late Breaking Lab News”

There’s a new lab company in New York City. Manhattan Physicians Laboratory, Inc. (MPL) was recently launched by two former executives from Quest Diagnostics Incorporated. Thomas Golubic is MPL’s President and William Nouri is Vice President and Lab Operations Di…

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Canadian Pathologists Start PT Testing for ER/PR

CEO SUMMARY: Experts point out that widely publicized episodes of lab testing deficiencies in several provinces are signs that chronic underfunding of lab testing services is a key factor in these failures. To restore public confidence in breast cancer testing, the Canadian Association of…

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PhyTest Assists Doctors With Lab Testing Revenue

CEO SUMMARY: PhyTest, Inc., created a unique business model upon its founding in 1998. It primarily specializes in handling laboratory test billing and collection services to office-based physicians. It also provides evaluation, consulting, and implementation services to help physicians i…

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Medicare Competitive Bid Lawsuit Heads toward a Judge’s Ruling

LOOK TO APRIL 7 FOR THE NEXT DEVELOPMENT in the federal court case filed by three San Diego-area laboratories challenging the Medicare Laboratory Competitive Bidding Demonstration Project. That’s when the judge is expected to rule on the case. The latest development was on March 14, when federal l…

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Using a 1997 Bid Model In a 2007 Health Market

CEO SUMMARY: It’s been a long path from concept to implementation for a competitive bidding demonstration involving clinical lab services. It was in the mid-1980s when CMS commenced work on designing such a demonstration. In the 1990s, RTI International continued devel…

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Numerous Issues Identified With Bid Demo’s 303 Tests

CEO SUMMARY: One experienced expert in billing and coding was surprised at the list of 303 tests to be included in the Medicare Laboratory Competitive Bidding Demonstration Project. He notes that the list of 303 tests includes a number of codes and descriptions that are not consistent wit…

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Is CMS Playing “Bait and Switch” in San Diego?

ATTEMPTING TO WRITE THE ASSESSMENT of the Medicare Clinical Lab Services Competitive Demonstration Project that you will read in this issue earned a unique distinction: since our founding in 1995, this has been the sin…

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Roche Diagnostics, Ventana Medical, Aetna, Medicare Competitive Bid Demo

NEW CEO NAMED AT ROCHE DIAGNOSTICS, VENTANA OFFER EXTENDED LAST WEEK, ROCHE HOLDINGS AG announced the appointment of Jürgen Schwiezer to become CEO of Roche Diagnostics, effective January 1, 2008. He succeeds Severin Schwa…

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