Tag: lab test

Anthem accuses tiny hospital of pass-through billing scheme

CEO SUMMARY: THE DARK REPORT was the first to draw attention to the increasingly popular “HOPD” billing scheme last November. Now a new case offers confirmation that insurers are resisting such schemes, and Anthem even charges that the scheme is illegal. Anthem’s charge to is a notification to Sonoma West Medical Center in Sebastopol, Calif.

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Two Major, Disruptive Changes Coming to Labs

TWO MAJOR, DISRUPTIVE CHANGES lie ahead for both clinical laboratories and anatomic pathology group practices. Each disruptive factor has nothing to do with how payers select in-network labs or reimburse for lab testing services.

Rather, one of these two major changes involves fundamental advances in the diagnostic technologies used by labs to diagnose disease and guide

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Newsmaker Interview: Healthcare’s Transformation Now Bringing Changes to Lab Industry

“Today, patients want to get diagnosis and treatment faster with fewer visits to the doctor’s office. They want speedier and more comprehensive delivery of clinical services, be it laboratory tests, imaging, or other procedures.”

—Ralph Taylor, President, Sysmex America, Inc.

CEO Summary: To bring testing closer to patients, clinical laboratories will need to offer sophisticated point-of-care systems

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Use of ‘1099 Marketers’ and Lab Compliance Risk

CEO SUMMARY: Experts in lab compliance predict that clinical laboratories and anatomic pathology groups must anticipate tougher enforcement of federal and state laws this year. One source of increased compliance risk for lab companies is the rising use of third-party marketing agreements. David Gee, an experienced lab industry attorney at Davis Wright Tremaine, said lab

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