Tag: pathology service associates

Anatomic Pathology Profession Faces Challenges, Opportunities

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

View Article

How Labs Should Comply With New Signature Rule

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

View Article

Pathologists Not Enrolled In PECOS By July 6 Risk Denial of Medicare Claims

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

View Article

Independent Labs Won’t Get Medicare PQRI Bonuses

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

View Article

August 14, 2006 “Intelligence: Late Breaking Lab News”

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

View Article

AP Test Over-Utilization Will Be One Achilles’ Heel

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

View Article