CEO SUMMARY: For 10 years, three primary trends have reshaped the anatomic pathology profession. They are declining reimbursement, competition from physicians establishing in-office pathology labs, and a host of new government laws and regulations. More changes are coming, predicts one business expert in pathology. Those changes involve new Medicare payment models, along with opportunities for
Tag: pathology service associates
CEO SUMMARY: Across the nation, clinical laboratories and pathology groups are reacting to the new Medicare rule that requires a physician signature on a paper requisition for clinical laboratory tests. Laboratories using paper requisitions will need to add a signature line, then print and distribute these new requisitions to their clients. Pathologists and lab administrators
JULY 6, 2010, IS THE NEW DEADLINE for pathologists to enroll in the Provider Enrollment, Chain and Ownership System (PECOS) or risk being denied payment for Medicare claims.
The federal Centers for Medicare & Medicaid Services (CMS) recently issued a statement that it will not pay physicians and their referring providers if they fail to enroll
CEO SUMMARY: Medicare does not intend to make bonus payments this year to independent labs currently reporting quality information for breast and colon cancer cases. The federal claims payment system is unable to pay independent labs for participating in the federal physician quality reporting initiative (PQRI). But physician pathology groups participating in PQRI will receive
CEO SUMMARY: New rules requiring use of National Provider Identification (NPI) numbers took effect on May 23. Since then, Medicare carriers and payers nationwide have rejected claims from pathologists and other providers that do not comply with the new NPI rules. A missing NPI on just one claim will result in the front-end rejection of
CEO SUMMARY: Laboratory medicine is now considered one of the best opportunities to profit as the demand for healthcare services skyrockets, both in the United States and throughout the world. This is why a flood of investment capital is washing into the laboratory industry. Loaded with capital and eager to profit in the diagnostic gold
CEO SUMMARY: Pathology Service Associates, LLC, has found a merger partner that will allow it to offer more products to its pathology clients and to expand into new service areas. By merging with MED3000 of Pittsburgh, Pennsylvania, PSA also gains access to enhanced informatics capabilities that it can roll out to its pathology group clients.
Here’s some useful information for pathologists and practice administrators trying to gauge the interest that urologists, gastroenterologists, and dermatologists have in capturing the anatomic pathology revenues generated by their patient referrals (the TC/PC trend). Pathology Service Associates of Florence, South Carolina recently conducted a Web survey on this topic. 32% of the respondents said that
Community-based pathologists get a featured role on the Learning Channel’s Inside Health program. It will be aired Sunday, November 28 at 8:30 am EST. The Learning Channel used pathologists affiliated with Pathology Service Associates (PSA) to help create a segment on the role of pathology in healthcare. PSA plans to make a video of the
CEO SUMMARY: Over-utilization is likely to be a prime concern when federal healthcare enforcers eventually investigate in-house anatomic pathology laboratories owned by specialist physicians. Some in-house pathology lab condo promoters are basing financial performance on 100% utilization of 12-core prostate biopsies. That significantly exceeds current clinical practices, as the numbers below demonstrate.
OVER-UTILIZATION WILL BE one