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Blog Posts by Tag: Pathology

Molecular Diagnostic Market-Share Expansion: Keys to Success

The molecular diagnostics market has experienced tremendous growth in recent years. It’s a complex business with many challenges, including prior authorization requirements, diagnostic coding changes, the evolving regulatory landscape, and specimen collection moving from physician offices and laboratories to the home. Growing and scaling a successful molecular diagnostics business requires...

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2023 MIPS – Examining How Pathology Scores Are Calculated

In the 2023 Quality Payment Program (QPP) final rule, there were minimal changes to the traditional Merit-Based Incentive Payment System (MIPS). The final rule focuses on further refining MIPS Value Pathways (MVPs) implementation. However, there are no pathology-related MVPs at this time. Therefore, the majority of pathologists will continue to participate under the traditional MIPS program.Two...

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It’s Important to Know How Your LIS Stacks Up. Take This Survey to Find Out.

The laboratory information system (LIS) plays a vital role in diagnostics. The LIS is the workhorse of the lab and is vital to day-to-day workflow and functionality. This essential system supports operational efficiency, testing capacity, timely specimen reporting, analytics, and business reporting.Many labs continue to use homegrown or on-premise systems that do not take advantage of the many...

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Simplify Your Pathology Workflow Through Speech Recognition and LIS Integration

Physicians, pathologists, and laboratory technicians rely on laboratory information systems (LIS) to manage workloads and streamline the operational efficiency of the laboratory. However, they are often still tied to their keyboards when it comes to documenting sample descriptions, observations, test findings, and diagnoses. Thousands (or even millions) of data points can be recorded in and...

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Take a Long, Hard Look at Your LIS

Laboratory testing is always changing with new technologies and ever-expanding test menus that have complex requirements around reporting, authorizations, reimbursements, and specimen processing. All of these changes impact your laboratory information system (LIS). To thrive in this dynamic environment, you need an LIS that can keep up with industry changes, throughput requirements, user...

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No Surprises Act: Examining the Independent Dispute Resolution Process

The Final Rule implementing the No Surprises Act provides new guidance for the payor-provider independent dispute resolution (IDR) process. The Final Rule directs certified IDR entities to consider the qualifying payment amount as well as certain other specific factors when resolving out-of-network rate disputes and requires payors to be more transparent about changes to codes or modifiers that...

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Best Practice to Maximize Patient Collections Now that the HRSA COVID-19 Uninsured Program has Ended

On March 15, 2022, the Health Resources and Services Administration (HRSA) announced that the Uninsured Program would stop accepting claims as it had exhausted its federal pandemic funding. In the COVID-19 Uninsured Program Shutdown FAQs, HRSA stated: Claims submitted after March 22 for COVID-19 testing and treatment, and after April 5 for vaccination will not be adjudicated for payment. ...

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Considerations When Selecting an LIS for Gynecologic Cytology and Molecular Testing

Laboratories leaders investigating LIS solutions for Gynecologic Cytology and Molecular testing need dynamic solutions that meet all productivity and efficiency goals and regulatory requirements. Other essential factors include cytotech reporting, automated quality control review and reporting, pathology oversight and reporting, Bethesda reporting guidelines, management reporting, lookback...

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