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Medicare
CMS: TJC Made ‘Business Decision’ to Not Recognize COLA
By Scott Wallask | From the Volume XXX, No. 9 – June 19, 2023 Issue
Following up on a prior briefing, The Dark Report has learned that the Centers for Medicare and Medicaid Services (CMS) does not appear to hav…
June 19, 2023, Intelligence: Late-Breaking Lab News
By Scott Wallask | From the Volume XXX, No. 9 – June 19, 2023 Issue
Lighthouse Lab Services in Charlotte, North Carolina, recently released survey results in which 52% of respondents indicated they were overworked relative to their positions; 33% described their wor…
For Labs, a Little Angel and Devil Sit Behind Z-Codes
By R. Lewis Dark | From the Volume XXX, No. 8 – May 30, 2023 Issue
Much lies underneath the surface of UnitedHealthcare’s (UHC) new policy mandating Z-code use for molecular tests covered under its commercial health plans. It’s a developme…
UHC’s Z-Code Requirement to Commence on Aug. 1
By Scott Wallask | From the Volume XXX, No. 8 – May 30, 2023 Issue
CEO SUMMARY: In what may be an alarming development for certain clinical laboratories, as of Aug. 1, UnitedHealthcare will require Z-codes for molecular test claims filed under its co…
February 13, 2023, Intelligence: Late-Breaking Lab News
By Scott Wallask | From the Volume XXX No. 3 – February 13, 2023 Issue
Laboratory leaders should prepare now for the end of the federal public health emergency (PHE) for SARS-CoV-2. The White House announced the PHE would cease on May 11. One big change is that patients covered by Medicare, Medicaid, or private insurance may pay higher costs for COVID-19 t…
January 23, 2023, Intelligence: Late-Breaking Lab News
By Scott Wallask | From the Volume XXX No. 2 – January 23, 2023 Issue
New data from the Association of American Medical Colleges (AAMC) offers further evidence of a decreasing talent pool of pathologists in the United States. Active physicians in anatomic and clinical pathology dropped from 13,201 in 2016 to 12,180 in 2021—a 7.7% decrease, according to the AAM…
Eight Macro Trends for Clinical Labs in 2023
By Robert Michel | From the Volume XXX, No. 1 – January 3, 2023 Issue
CEO SUMMARY: Laboratory administrators and pathologists will want to carefully study eight important trends that will guide their business strategies in 2023. Many of these macro trends center on financial and operational difficulties and ways to steer around these obstacles. Anothe…
January 3, 2023, Intelligence: Late-Breaking Lab News
By Scott Wallask | From the Volume XXX, No. 1 – January 3, 2023 Issue
At the moment, it appears that the controversial Verifying Accurate Leading-edge IVCT Development (VALID) Act will have a hard time passing in Congress. The bill, which is intended to shift regulation of laboratory-developed tests (LDTs) to the federal Food and Drug Administration…
Two Positive Messages to Focus on at Year’s End
By R. Lewis Dark | From the Volume XXIX, No. 17 – December 12, 2022 Issue
Clinical laboratory managers and anatomic pathologists are winding down another tumultuous year for the healthcare industry. It was a year marked by unexpected twists and turns. It was also a year marked by two positive developments for labs. First, the…
Lab Allegedly Billed Medicare for Tests It Did Not Perform
By Scott Wallask | From the Volume XXIX, No. 16 – November 21, 2022 Issue
Following up on a Sept. 19 intelligence briefing, an attorney told The Dark Report that a federal case alleging genetic test fraud showed hallmarks of pass-through billing. As such, it raises questions about whether reference l…
CURRENT ISSUE
Volume XXXI, No. 6 – April 29, 2024
Laboratory managers will want to note that The Dark Report itself was targeted by the fraudsters who hit Change Health in a cyberattack. Also, one lab has some innovative methods of combatting the chronic staffing shortage, including hiring college graduates and students.
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