The First Steps in Preparing for the PAMA Reporting Period (Part 1)

  • May 15, 2019

Solid reporting from all applicable laboratories is the key to mitigate future PAMA fee schedule cuts. This means labs need to be able to report on actual allowables vs. payments, validate the accuracy of payments, and optimize appeals activity to avoid under-reporting payments. All applicable labs are included in the current data collection period now underway for the first half of 2019.Step 1:...

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Improving Reimbursement for Remote Patient Monitoring and Medical Devices by Leveraging Real World Data

  • May 3, 2019

The diagnostic industry is benefiting from new innovation and data collection opportunities provided by telemetry, wearable diagnostics, and remote patient monitoring devices. These devices are collecting more patient diagnostic and monitoring information than ever before. They also help to save time in the diagnosis and treatment process, reduce healthcare costs, and help physicians monitor...

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EKRA‘s Real Impact on Clinical Laboratories

  • Apr 30, 2019

With the opioid epidemic becoming an increasingly serious issue in the United States, our government has responded with the Substance Use-Disorder Prevention that Promotes Opioid Recover and Treatment for Patients and Communities Act, also known as the Support Act. This act essentially aimed to reduce access to opioids. One of more than 70 bills in the Support Act is the Eliminating...

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Hidden Landmines in RCM: Understanding Trends that Impact Financial Performance of Laboratories and Pathology Practices

  • Apr 25, 2019

With layers of complexity in revenue cycle management, it’s pertinent laboratories and pathology practices understand the challenges that may unknowingly be impacting revenue. Industry trends consistently change how we approach the nuances of the RCM process. How trends in top denials shifted in the last several year's impacts how we edit on the front-end and appeal on the back-end. Routinely...

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Can Your LIS and RCM Systems Work Together to Automate Reimbursement for IHC Tests?

  • Apr 23, 2019

There are many complex rules around the billing of immunohistochemistry (IHC) and other anatomic pathology (AP) tests, especially when multiple specimens are tested for the same patient on the same date of service. Understanding the unit of service for these tests is important in proper billing and thus full reimbursement. The unit of service for immunohistochemistry and immunocytochemistry (ICC...

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Happy Lab Week!

  • Apr 22, 2019

Since 1975 the laboratory community has been increasing public awareness, understanding, and appreciation for clinical laboratory personnel by celebrating Medical Laboratory Professionals Week (Lab Week). Now, more than ever, laboratories deserve recognition and support because disruption is the new normal in the lab industry. While PAMA has been (and will continue to be) a major disruptor in our...

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Is Your Precision Medicine Data IQ Where it Should be?

  • Apr 19, 2019

Digital data is being generated at an astonishing clip, especially in the healthcare space. According to a November 2018 IDC report, healthcare is the fastest-growing industry datasphere that IDC evaluated. Critical and hypercritical (life-dependent) data are also growing fastest within the healthcare industry. IDC projects over 10 zettabytes (that’s 10 billion terabytes) of healthcare data by...

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Best Practices for Protecting Customer Data: Focus on Physical Security

  • Apr 18, 2019

Protected Health Information (PHI) is a favorite target of cybercriminals. Sold on the black market, PHI is estimated to be 10 to 20 times more valuable than a credit card record, which typically sells for $1 or $2.As stolen data continues to grow in value, criminals become more creative. It's an escalating battle that keeps data security a high-priority and an ongoing challenge. Knowledge,...

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