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May 7, 2018 Intelligence: Late Breaking Lab News

Intelligence Late & Latent News

In Sebastopol, Calif., the financially-troubled Sonoma West Medical Center (SWMC) dropped a controversial drugs-of-abuse testing program. The following month, without the revenue from the drug testing program, 37-bed SWMC lost $1.4 million. In 2017, the hospital entered into a pass-through billing arrangement with a Florida attorney, Aaron Durall and his lab company, Reliance Laboratory Testing.

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Wake Forest Baptist Lab’s Path Errors Teach Lessons

CMS inspection uncovered multiple serious deficiencies in histology and pathology departments

CEO SUMMARY: For medical directors and pathologists interested in improving their labs’ compliance with CLIA regulations, a report from federal and state inspectors of an inspection of the pathology lab at the Wake Forest Baptist Medical Center offers insights into what issues caught the inspectors’ attention. During their visit in February, the government lab inspectors

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Cleveland Clinic Lab Has Multi-year Test Utilization Success

In seven years, 160,000 fewer test orders!

CEO SUMMARY: Over the 24 months of a first-generation round of laboratory test utilization management projects, the Cleveland Clinic laboratories prevented more than 30,000 duplicate or inappropriate test orders, saving almost $2.7 million. Now implementing a second-generation of labtest utilization projects, the lab’s seven-year effort has prevented 160,072 tests and saved more than $5 million.

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Insurers Sue To Challenge Pass-Through Bill Schemes

UnitedHealthcare and Anthem file lawsuits charging fraud against labs, other defendants

CEO SUMMARY: In two separate lawsuits filed in April, UnitedHealthcare (UHC) and Anthem each charged that drug testing companies used pass-through-billing schemes in ways the insurers say are fraudulent. UHC filed its lawsuit on April 18. One day later, on April 19, Blue Cross and Blue Shield of Georgia and other Anthem companies filed suit

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Key Lab Trends Described At Executive War College

Speakers emphasized opportunities for labs while recognizing Medicare price cuts as a given

CEO SUMMARY: Innovative clinical labs and pathology groups are absorbing this year’s Medicare Part B price cuts while continuing to pursue opportunities to add value. A common theme from many speakers at last week’s Executive War College in New Orleans is that the lab must get mastery of its LIS and informatics specifically to enable

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What Are Lab Industry’s True Major Issues?

WE’VE JUST FINISHED A FASCINATING WEEK IN NEW ORLEANS, at the 23rd annual Executive War College. More than 820 lab leaders were present to hear 104 interesting speakers in 65 unique sessions. Collectively, this group represented as much as $20 billion in annual clinical lab and pathology revenue.

These statistics are important for a strategic planning

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Don’t Be at the Mercy of the Tumultuous Healthcare Revolution

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