Blog Posts by Date: Feb 2023
Tired of Hidden Charges from Your LIS Vendor?
One of the most common complaints from laboratory executives is hidden charges that they face from their LIS providers. In our recent LIS State of the Industry Survey, a common theme among respondents was the cost of their LIS and the unpredictable charges they often face.Laboratory leaders routinely see unexpected charges for: Hardware/server...
What The End of The PHE Means for Laboratory Providers
With the announcement from President Biden that his administration plans to end the COVID-19 Public Health Emergency (PHE) on May 11, 2023, many diagnostic providers are wondering how they will be impacted. CMS has published several provider-specific fact sheets about the PHE waivers and flexibilities, including which have been terminated, have...
The Importance of Physician and Patient Engagement for Molecular Diagnostic Market-Share Expansion
This blog is the second in our series covering the keys to success for market-share expansion in molecular diagnostics outlined in our recent whitepaper, “The Executive’s Guide to Molecular Diagnostic Market-Share Expansion”. If you missed the first blog in this series, find it here.As more molecular diagnostic testing moves from physician offices...
No Surprises Act: 2023 Changes and Clarifications
Effective January 1, 2022, the No Surprises Act (NSA) established new federal protections against surprise medical bills and balance billing for services received from out-of-network providers.Since January 2022, CMS has published over 50 resources related to the Act, five of which were released as recently as December. In August 2022, CMS issued...
Optum’s Laboratory Benefit Manager Program: Focus on CPT 81479
In 2022, Optum launched its new laboratory benefit management (LBM) program to help health plans reduce unnecessary lab testing through automated payment denial. The LBM program leverages Avalon Healthcare Solutions, which has developed evidence-based lab policies with automated software tools, and the MolDX program, which identifies and...