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shell lab
Attorney Explains 70/30 Rule, Pass-Through Bill Arrangements
HOW THE LAB OUTREACH BUSINESSES of rural hospitals originate lab specimens and bill for lab tests is getting increased scrutiny. The reason for this rise in interest is that a growing number of rural hospitals are generating almost as much revenue from laboratory outreach testing as they get from all…
Lab Scheme Recruits Hospitals To Bill as In-Network Providers
CEO SUMMARY: Management companies using a new generation of potentially fraudulent schemes are targeting hospitals and health systems for arrangements that use questionable means to increase lab test volume and revenue. The management companies often use the term “hospital outpatient de…
New source of lab test abuse surfaces in the form of HOPDs and MSOs
This is an excerpt from a 2,350-word article in the Oct. 30, 2017 issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group. CEO SUMMARY: …
CURRENT ISSUE
Volume XXVII, No. 11 – August 3, 2020
WILL RETAIL BEHEMOTH AMAZON become a competitor in the clinical lab industry? With its plans to build COVID-19 testing labs and history of disrupting the marketplace, this is a distinct possibility, and it’s not just THE DARK REPORT that thinks so. Also, UHC is about to do some disrupting of its own with its new test code protocol.
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