TAG:
medicare lab
March 03, 2008 “Intelligence: Late Breaking Lab News”
Another laboratory company is suing the federal government. On January 24, UroPath, LLC and three urology groups filed a lawsuit in the U.S. District Court for the District of Columbia. UroPath, the largest operator of anatomic pathology (AP) condo/pod laboratory complexes, is suing …
February 11, 2008 “Intelligence: Late Breaking Lab News”
In an attempt to stop or delay the start of the Medicare Laboratory Competitive Demonstration Project for the San Diego-Carlsbad-San Marcos SMA (statistical metropolitan area), a lawsuit has been filed in federal court by Internist Laboratory of Carlsbad, Sharp Healthcare …
Call to Action Is Needed For Lab Test Profession
CEO SUMMARY: Is a laboratory test simply a commodity, like wheat or coal? Or is it a complex scientific service of unique value that delivers personalized results and clinical knowledge on behalf of millions of patients every day in the United States? The fundamental assumption of competi…
Analyzing Lab Bid Demo To Predict Its Outcome
CEO SUMMARY: After two decades of study and preparation, the Centers for Medicare & Medicaid Services (CMS) is pushing the laboratory profession toward the first pilot site in the Congressionally-mandated Medicare Clinical Laboratory Services Competitive Demonstration Project. Designe…
Anticipate Access/Service Decline for S.D. Patients
CEO SUMMARY: In its primary push to use the Medicare Laboratory Competitive Bidding Demonstration Project as a tool to drive down the price Medicare pays for Part B laboratory testing services, CMS is giving secondary attention to patients’ needs. In particular, CMS seems to place littl…
Local San Diego Lab Fights Bias In CMS Bid Demo
CEO SUMMARY: Meet Internist Laboratory of Oceanside, California. For 18 years, its owners, Gary and Christine Stevens, have provided a high level of laboratory testing services to office-based physicians in Northern San Diego County. Now Internist Laboratory is the perfect poster child fo…
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…
Speculating On How Labs Might Respond to Demo
CEO SUMMARY: Statements and actions by CMS officials responsible for the laboratory competitive bidding demonstration project reveal the likelihood that they are using it as a Trojan Horse. While talking about implementation of a three-year demonstration project in the San Diego MSA, CMS …
August 6, 2007 “Intelligence: Late Breaking Lab News”
These days, it seems as if all sorts of physicians want to cut themselves a slice of the anatomic pathology pie. Now its podiatrists! Sources tell THE DARK REPORT that a large podiatric group in Atlanta has opened its own in-office pathology lab. Reportedly, this lab is generating more than $100,000 …
Medicare’s Lab Competitive Bidding Demonstration
EVERYONE SHOULD MARK JANUARY 1, 2007 ON THEIR CALENDARS. On that date, just 14 weeks from now, Medicare administrators intend to announce which laboratory bidders will be allowed to provide lab testing services in the laboratory competitive bidding demonstration that was mandated by the 2003 Medicare…
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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