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laboratory testing

Labs, AP Groups Confused about UnitedHealthcareā€™s Test Registry

CONFUSION CONTINUES among clinicalĀ laboratories and anatomicĀ pathology groups about how theyĀ should comply with UnitedHealthcareā€™sĀ new Laboratory Test Registry Program. The program goes into effect on Jan. 1,Ā 2021, but labs and pathology groups mustĀ register all tests and testing procedure…

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DOJ Delivers $6B Lab Fraud Crackdown

This is an excerpt of a 1,028-word article in the October 5, 2020 issue of THE DARK REPORT (TDR). The full article is available to members of The Dark Intelligence Group. CEO SUMMARY: In this latest lab fraud crackdown, Department of Justice cases involvingĀ clinical labs or molecular te…

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Lab Finances to Become More Challenging

When you finish reading our story about how MedicareĀ spending for molecular and genetic tests jumped by as much as 700% in certainĀ states during 2019, youā€™ll be among the first in the nation to understand whyĀ a financial crisis is soon to wash over those clinical laboratories and pathologyĀ grou…

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Medicare Pays 500% More for Molecular Test Claims

CEO SUMMARY: Rapid growth in what Medicare spent forĀ molecular tests in recent years may lead federal investigatorsĀ to increase scrutiny of fraudulent billing for clinical laboratoryĀ and molecular pathology tests, according to a lab consultantĀ who has tracked such spending in recent y…

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DOJ $6B Fraud Crackdown Charges 345 Defendants

CEO SUMMARY: Department of Justice cases involvingĀ clinical labs or molecular test claims may represent about halfĀ (or about $3 billion) of the total fraudulent claims. Those claimsĀ stem from genetic testing, urine-drug and other tests, andĀ healthcare services, the DOJ said. In additi…

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High-Complexity Mobile Labs for COVID-19 Testing

CEO SUMMARY: Demand for high-complexity mobile coronavirusĀ testing facilities is high, according to the CEO of a start-upĀ company building 25 clinical labs in mobile trailers that can doĀ hundreds of tests per eight-hour day. Employers, schools, eventĀ organizers, and other entities all…

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Will HHS Ruling on COVID-19 LDTs Be Good or Bad for Lab Reimbursement?

This is an excerpt of a 1,028-word article in the September 14, 2020 issue of THE DARK REPORT (TDR). The full article is available to members of The Dark Intelligence Group. WHILE SOME LABS CELEBRATE THE PERCEIVED FLEXIBILITY thatĀ comes from not having to get anĀ …

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Understanding COVID-19ā€™s Changes to Lab Industry

CEO SUMMARY: With the SARS-CoV-2 pandemic about toĀ enter its eighth month in the United States, it remains difficultĀ to predict whether the pandemic will strengthen with the fallĀ influenza season or steadily diminish. What is clear to mostĀ pathologists and clinical laboratory executiv…

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Texas Company Operates 400 COVID-Collection Sites

CEO SUMMARY: In April, the federal Department of HealthĀ and Human Services contracted with eTrueNorth to operate COVIDĀ drive-through specimen-collection sites under the Community-Based Testing Sites program. The drive-through sites are anĀ extension of non-COVID testing the company has …

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New York Firm to Build CLIA Labs in Shipping Containers

CEO SUMMARY: In many respects, the COVID-19 pandemicĀ is like a gold rush for entrepreneurs. Federal and stateĀ governments, colleges, employers, school districts, and otherĀ entities need COVID-19 tests and tens of billions of dollarsĀ are available to pay for such tests. This modern gol…

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