TDR Insider
IVD Consolidation Reduces Choices for Labs
Since the launch of The Dark Report in 1995, consolidation of hospitals, physician groups, clinical labs, p...
Actions Pathologists Can Take to Protect Their Income
Given that pathology reimbursements are always on the chopping block and labor costs are at all-time highs, it’s understandable tha...
OIG Says Billing Code 81408 Is at Risk of ‘Improper’ Payment
Clinical laboratories may have heard billing code 81408 referred to as "fraudomatic," and now the Office of Inspector General (OIG) has attached a remarkable number to t...
UHC Z-code Deadline Looms, Raising Concerns About Technical Assessment Timelines
By now, many of you are aware that UnitedHealthcare is scheduled to begin requiring Z-codes for genetic test claims under its private health plans. That Aug. 1 deadline raises questions about whether labs that need to complete a technical assessment as part of their Z-code requests w...
Experts Discuss Genetic Test Claim Review
GENETIC TESTING LABORATORIES CAN EXPECT PRIVATE HEALTH INSURERS to require better data about the accuracy and clinical relevance of the genetic test claims being s...
UHC’s Z-Code Requirement for Molecular Test Claims Starts Aug. 1
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 commercial health plans. ...
Kaiser Acquires Geisinger Health in Blockbuster, Value-Based Deal
The Dark Report examines how the acquisition of Geisinger Health by Kaiser Permanente not only sets the stage for more blockbuster hospital deals, but offers a platform for new value-based reimbursement models. Kaiser is forming a new value-based organization to include Geis...
HHS Draft Rule Will Standardize Electronic Signatures
Every year, payers refuse laboratory test claims on grounds that the ordering provider’s signature is missing or illegible—a situation that costs clinical labs million of dollars in missed reimbursements. This situation might change once a proposed rule from the U.S. Department of Health and Huma...
Six Important Executive War College Themes to Help Labs Succeed
Clinical laboratories face business challenges with day-to-day operations, genetic testing, and evolving care delivery models. The 2023 Executive War College on Diagnostics, Clinical Laboratory, and Pathology Ma...
Sanford/Fairview Merger Has Implications for Clinical Labs
Sanford Health in Sioux Falls, South Dakota, and Fairview Health Services in Minneapolis recently announced their intent to merge later this year. The Sanford/Fairview merger, like many blockbuster deals involving integrated delivery networks (IDN), has long-term implications for clinical laboratorie...
Don’t Be at the Mercy of the Tumultuous Healthcare Revolution
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CURRENT ISSUE
Volume XXXI, No. 10 – July 22, 2024
An attorney widely experienced in clinical laboratory regulation has prepared guidelines for complying with the FDA’s new LDT rule, and The Dark Report offers them in their entirety to readers. Also, a House of Representatives bill includes language calling for the FDA to suspend its rule.
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