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Industry News



Articles are archived in the Laboratory Administration / Management chapter in the topic Archive of management articles

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11 October 2019: The Healthcare Landscape is Changing – Billing Services are the Safe Bet, by Brice Voithofer, Senior Vice President, AdvantEdge Healthcare Solutions
Through continuous process improvement (CPI) successful companies constantly re-evaluate their business process to assure they are running their business in the most effective, efficient and innovative manner. Medical practices are no different and must adapt to the ever-changing landscape to survive long-term. Companies that thrive are the ones that create the correct environment for success. Rest of article

19 September 2019: Customer Service Should be an AdvantEdge in Your Practice, by Michael J Krivich, AdvantEdge Healthcare Solutions
We all know the importance of customer service as it relates to patient experience and satisfaction with physician services in today’s healthcare environment. Patients rank their satisfaction with the physician services in surveys by the practice, in the CMS Fee-For-Service CHAPS survey, and by other private survey companies like J.D. Powers, for example. Rest of article

5 September 2019: CMS Targeted Probe and Educate Audit Program, by Jeanne A. Gilreath, AdvantEdge Healthcare Solutions
One of the many programs CMS has implemented to help providers identify billing issues is the Targ eted Probe and Educate (TPE) audit program. It is designed to identify providers with high denial rates or unusual billing practices according to CMS. Rest of article

12 August 2019: MIPS for Pathologists: Proposed changes for 2020, by Mick Raich, Vachette Pathology
Just as participants of the Merit-based Incentive Payment System were becoming comfortable with the programs requirements and the steps necessary to avoid penalties to their Medicare Part B payments, CMS has indicated it intends to again ramp up reporting requirements for the 2020 performance year, according to the 2020 Medicare Physician Fee Schedule Proposed Rule published July 29. Rest of article

12 August 2019: Laboratory Economics Survey Highlights Increase in Industry Concern around Pathology Reimbursement, by Steve MacCrea, AdvantEdge Healthcare Solutions
A recent study by Laboratory Economics (LE) - an independent research and analysis firm focusing on pathology and the laboratory services industry - shows that 82.4% of labs and pathologists cite declining reimbursement as one of the industry’s biggest challenges. Rest of article

5 August 2019: Surprise Billing Legislation is Gaining Traction with an Unknown Future for Physicians, by David Nicholson, AdvantEdge Healthcare Solutions
Surprise medical bills occur when an insured patient unintentionally receives care from an out-of-network provider. And, according to a 2018 survey conducted by the University of Chicago, more than half of Americans (57%) have received at least one unexpected medical bill that they believed was covered by insurance. Rest of article

1 August 2019: Pathology Services See Neutral Overall Adjustment in Proposed 2020 MPFS, by Mick Raich, Vachette Pathology
After a significant delay, CMS released its Proposed 2020 Medicare Physician Fee Schedule Monday evening. Its release marked the longest delay in the rule's annual release since 2006, when it was held from public view until August of that year. Rest of article

26 June 2019: Change Healthcare Helps Meridian Laboratory Physicians Navigate Difficult Waters, by Change Healthcare
How can Change Healthcare help laboratories improve billing operations and revenue? Read our case study to see how we helped Meridian Laboratory Rest of article

12 June 2019: Vachette examines Anthem pathology cuts in 'Laboratory Economics', by Mick Raich, Vachette Pathology
As Vachette continues to lead the charge against Anthem's misguided rate adjustments for pathology and lab services in several states throughout the country, we're fielding more questions about what options labs facing these cuts truly have. Recently, Vachette CEO Mick Raich and VP of Client Services Ann Lambrix, spoke with Laboratory Economics Publisher Jondavid Klipp to examine the potential scope and overall impact of these cuts. Rest of article

12 June 2019: 3 Common ASC Billing Mistakes, by AdvantEdge Healthcare Solutions
These common mistakes, originally published in Becker's ASC Review, provide areas to evaluate to improve your surgery center's coding and billing results. Rest of article

16 May 2019: 3 Tips to Improve Your Billing (PDF), by AdvantEdge Healthcare Solutions
Every practice knows that billing and collecting gets harder every day. Insurance companies change their rules and parameters, patients owe a larger proportion due to co-pays and high deductible health plans, and there are more audits than ever before. Rest of article

16 May 2019: A Successful Case Study in Lab Revenue Cycle Management, by Mick Raich, Vachette Pathology
Mick Raich, CEO of Vachette Pathology, and Trish Hankila, CFO of the South Bend Medical Foundation, presented a successful case study in lab revenue cycle management, citing SBMF as the example, during a breakout session at the 24th Annual Executive War College on Laboratory and Pathology Management held on April 30, 2019 at the Sheraton Hotel in New Orleans. Rest of article

8 May 2019: NILA Seeking Public Feedback on PAMA Cuts Impact, by Mick Raich, Vachette Pathology
Laboratories and pathology groups who have been feeling the crunch created by reimbursement cuts under the Protecting Access to Medicare Act (PAMA) are being asked to sound off in a public survey being conducted by the National Independent Laboratory Association. Rest of article

2 May 2019: New Molecular LCDs to Take Effect Next Month, by Mick Raich, Vachette Pathology

15 April 2019: In-House Billing or a Billing Service (PDF), by AdvantEdge Healthcare Solutions

15 April 2019: Michigan BCCCNP Rates Receive Another Bump, by Mick Raich, Vachette Pathology

15 April 2019: Missed Appeals, Bad Write-Offs and More From Our Latest Audit Roundup, by Mick Raich, Vachette Pathology

15 April 2019: MIPS Payment Adjustments Not Appearing as Expected on 2019 EOBS, by Mick Raich, Vachette Pathology

5 April 2019: Looking ahead to the Executive War College on Laboratory and Pathology Management, by Mick Raich, Vachette Pathology

13 March 2019: Medi-Cal Now Seeking 2018 Private Payer Data, by Mick Raich, Vachette Pathology

13 March 2019: How to Evaluate a Billing Company (PDF), by AdvantEdge Healthcare Solutions

6 March 2019: Understanding Your Clinical Lab’s Liability Under EKRA, by Mick Raich, Vachette Pathology

27 February 2019: Is Your Lab Following New FNA Coding Guidelines?, by Mick Raich, Vachette Pathology

13 February 2019: New Policy from Anthem of MO Heavily Impacts Lab Payments, by Mick Raich, Vachette Pathology

21 January 2019: CMS Laboratory Date Of Service Exception Policy Update, by AdvantEdge Healthcare Solutions

21 January 2019: Reminder: Include Interpretation Location On Lab Reports To Avoid Citations, by Mick Raich, Vachette Pathology

19 December 2018: Sonic Healthcare Set to Purchase Aurora Diagnostics for $540 Million, by Mick Raich, Vachette Pathology

18 December 2018: Report: UHC Terminating Contracts Of Some Regional, Independent Labs, by Mick Raich, Vachette Pathology

4 December 2018: CMS Implements Overall Cuts For Pathology, Independent Lab Services In 2019 MPFS Finale Rule, by Mick Raich, Vachette Pathology

3 December 2018: MIPS 2019 Final Rule: What Pathologists Need To Know, by Mick Raich, Vachette Pathology

30 October 2018: Update: Prior-Authorization Continues to Cause Confusion (and Missed Payments), by Mick Raich, Vachette Pathology

8 October 2018: Compliance Issues, MUE Denials and More in Vachette’s 2018 Audit Roundup, by Mick Raich, Vachette Pathology

30 July 2018: MIPS 2019 Proposed Rule: What Pathologists Should Watch For, by Mick Raich, Vachette Pathology

17 July 2018: Independent Labs Eye Boon as CMS Proposes to Increase TC Rates for Key Pathology Services, by Mick Raich, Vachette Pathology

26 June 2018: Payment Cuts for Pathology, Radiology Proposed by MedPAC, by Mick Raich, Vachette Pathology

7 June 2018: Carrier’s Confusion Over Third-Party Policy Causes Improper Denials, by Mick Raich, Vachette Pathology

21 May 2018: Maximizing Revenue Under the BCBSM Incentive Program, by Mick Raich, Vachette Pathology

24 April 2018: Check Your 2018 MIPS Participation Status, by Mick Raich, Vachette Pathology

4 April 2018: Current Metrics in Medical Billing Contracts - White Paper, by Mick Raich, Vachette Pathology

14 March 2018: Analyzing the Overhauled 14-Day Molecular Billing Rule, by Mick Raich, Vachette Pathology

21 February 2018: Pivotal Health Offers Clinical Labs Tools to Succeed in Evolving Value-Based Market, by Mick Raich, Vachette Pathology

8 February 2018: Navigating the CMS "Targeted Probe and Educate" Audit Initiative, by Mick Raich, Vachette Pathology

24 January 2018: How MIPS Will Affect Pathologists in 2018, by Mick Raich, Vachette Pathology

15 December 2017: Vachette Supports Dr. James E. Richard for 2019 CAP Presidential Bid, by Mick Raich, Vachette Pathology

28 November 2017: What Could a Single-Payer Plan Mean for Pathologists?, by Mick Raich, Vachette Pathology, categories: billing

13 November 2017: Prostate Biopsy, Flow Cytometry Cuts Finalized in 2018 Medicare Physician Fee Schedule, by Mick Raich, Vachette Pathology, categories: billing

23 October 2017: Deadline Approaching to Request PQRS Informal Review!, by Mick Raich, Vachette Pathology, categories: billing

4 October 2017: PAMA Proposed to Have Heavy Impact on 2018 Clinical Lab Tests, by Mick Raich, Vachette Pathology, categories: billing

20 September 2017: Time is Running Out for MIPS Improvement Activities!, by Mick Raich, Vachette Pathology, categories: billing

6 September 2017: Avoiding Scrutiny Under the New CMS Audit Process, by Mick Raich, Vachette Pathology, categories: billing

9 August 2017: Lab Prior-Authorization Programs Continuing to Evolve, by Mick Raich, Vachette Pathology, categories: billing