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medicare coding
Coding Edits Are a Potential Hammerblow to Pathology
By R. Lewis Dark | From the Volume XIII No. 1 – January 16, 2006 Issue
DURING THE NEXT SIX MONTHS, WE WILL WITNESS an intense debate between the pathology profession and the Medicare/Medicaid bureaucracy. This battle will center around the proposed MUEs (Medically Unbelievable Edits) which place restrictions on the units of service per patient per day on key CPT codes w…
Tenet’s Outlier Medicare Fees Put It in Unwelcome Spotlight
By Robert Michel | From the Volume IX No. 16 – November 18, 2002 Issue
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…
1997’s Top Ten Lab Stories Predict New Directions
By Robert Michel | From the Volume IV No. 18 – December 29, 1997 Issue
CEO SUMMARY: Events during 1997 reveal that the laboratory industry continues to undergo fundamental change. Yet even amidst the industry’s downsizing, selected laboratory organizations continue to flourish. Here is THE DARK REPORT’s annual look at top stories for the year. A careful …
CURRENT ISSUE
Volume XXXI, No. 16 – November 25, 2024
Two different federal lawsuits that challenge the authority of the federal Food and Drug Administration (FDA) to regulate laboratory developed tests (LDTs) will be combined. Plaintiffs and the government in both cases agreed to move forward on this basis.
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