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medicare laboratory

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…

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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…

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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…

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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 …

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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…

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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 …

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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…

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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 …

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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…

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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…

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