TAG:
medicare lab
2008’s Top Ten Lab Stories Lacked Disruptive Impact
CEO SUMMARY: For the first time in recent memory, a year has passed without major tumult or disruptive change in the laboratory industry. Our list of the Top Ten Most Important Stories of 2008 reflects a rather quiet year when compared to most years of this decade. Howeve…
New Senate Bills Include Repeal of Competitive Bid
CEO SUMMARY: One proposed Senate bill would repeal the laboratory competitive bidding demonstration project, replace the 10.1% cut to physician fees with a 1.1% increase, and extend the so-called technical component (TC) grandfather clause. Senator Max Baucus (D-Montana),…
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…
Courts Uphold Labs’ Challenges on CMS’ Rules
SINCE MARCH 31, THE FEDERAL CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) has lost two decisions in two different U.S. district courts. Though each case addressed fundamentally different issues, the rulings were remarkably similar. In both cases, the courts questioned CMS’ fai…
Three San Diego Labs Stop Competitive Bid Demo
CEO SUMMARY: Last Tuesday, a federal judge handed a big court victory to the three plaintiffs in their lawsuit seeking to delay or stop implementation of the Medicare Laboratory Competitive Bidding Demonstration pilot in the San Diego area. In his written opinion, the judge ruled in favor…
April 4 Fed Court Ruling Opened Door to Injunction
CEO SUMMARY: Federal Judge Thomas J. Whelan’s ruling on three key legal points on Friday, April 4, was the first court victory needed by three San Diego-area labs in their lawsuit to prevent the Medicare Laboratory Competitive Bidding Demonstration in San Diego from proceeding. Judge Wh…
Federal Judge to Look at CMS Rule-Making in Anti-Markup Case
THERE’S BEEN WIDESPREAD INTEREST across the lab industry to news that on March 31, Uropath, LLC, won a preliminary injunction in its case to prevent the federal Centers for Medicare & Medicaid Services (CMS) from implementing an anti-markup regulation for patho…
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…
Citizens Taking on the Government
IT WAS P.J. O’ROURKE WHO SAID THAT “giving money and power to government is like giving whiskey and car keys to teenage boys.” I think of that quote when I ponder the Medicare Laboratory Competitive Demonstration Project and the twisted reasoning of the faceless bureaucrats at the Cente…
Judge Rules Against Labs In Medicare Lab Bid Case
CEO SUMMARY: On February 14, Federal District Judge Thomas J. Whelan denied the request for a temporary restraining order (TRO) by three San Diego labs that would have stopped the Medicare Laboratory Competitive Bidding Demonstration pilot project until several legal challenges were adjud…
CURRENT ISSUE
Volume XXXII, No. 7 – May 12, 2025
Economic, Tech changes drive lab concerns, The Dark Report provides insights from the Executive War College speakers about how clinical labs can use business strategies and tactics to handle the new tariffs, future regulations, and artificial intelligence (AI). Also, this issue provides guidance on how labs and pathologists should prepare for payer audits.
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