G2intelligence.com
Labs, Patients, and AI: A Modern Healthcare Collaboration
WebLabs, patients, and technology must all work together to deliver forward-thinking patient-centered care. Pathologists and laboratory professionals play a crucial role in diagnosing, managing, and monitoring disease. However, their findings—and the lab as a whole—often remain a mystery to patients. Even after the introduction of the 21 st
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URL: https://www.g2intelligence.com/a-modern-healthcare-collaboration/
The HDL Saga Continues with $114 Million Verdict against Lab’s …
WebG2 empowers managers, professionals, and leaders of clinical labs, including hospital, freestanding, physician office, and pathology labs, to comply with legal requirements and maximize reimbursement, operational effectiveness, clinical quality, and …
Final Rule Clarifies Liability for Off-Label Uses and Lab’s Right to
WebOn Aug. 2, 2021, the FDA published the long-awaited final rule updating its “intended use” regulations for medical devices and drugs. Here’s a quick briefing of the new rules, which took effect on Sept. 1. The “Intended Use” Regulations. In 2015, FDA proposed to eliminate a regulatory requirement that a manufacturer “provide
Federal Court Upholds $114.1 Million Judgment against Principles …
WebThe Health Diagnostics Laboratory, Inc. (HDL) and Singulex kickback saga continues. In recent years, most of the action has been centered not so much on the labs themselves but on others involved in the scheme, including BlueWave Healthcare Consultants, their marketing firm and the downstream physicians to whom the labs directed their kickbacks.
Lab Owner Pleads Guilty to $89 Million Fraud Scheme
WebiStock, Pixelimage. Enforcement actions over the past week saw two key lab-related cases, the biggest involving a lab owner pleading guilty to his role in an $89 million cancer genetic screening fraud scheme. The second case saw two doctors convicted for their roles in a healthcare fraud scheme involving medically unnecessary urinalysis testing.
Five Things Labs Need to Know About the 2023 Clinical Lab and …
WebOn Nov. 1, the Centers for Medicare & Medicaid Services (CMS) published the 2023 Medicare Physician Fee Schedule Final Rule (Final Rule) listing reimbursement rates for lab testing and other Part B items and services. In case you don’t feel like reading all 3,300+ pages of the Final Rule, here’s a quick briefing on the five key changes labs …
The Year in Lab Compliance: The Biggest Stories of 2021
WebWhile Health Diagnostics Laboratory, Inc. (HDL) has been gone for years, the fallout from the most massive lab kickback scandal in history continues. On Feb. 22, the US Court of Appeals for the Fourth Circuit upheld a $114.1 million jury verdict against a former HDL CEO and two sales consultants for their role in conspiring with BlueWave …
The 5 Most Significant Lab Company M&A Deals of 2022
WebHere’s the G2 Intelligence list of the five most impactful lab M&A deals in 2022. 1. Labcorp’s Acquisition of Personal Genome Diagnostics. While Labcorp and Quest continued to gobble up clinical labs from hospitals and health systems, Labcorp made a strategic play to bolster its genetic testing profile by acquiring next-generation
M&A Report: The Top 15 Diagnostic Deals of 2022
WebSource: G2 Intelligence Biggest Deal (by Dollar Value): Quidel’s $6 Billion Acquisition of Ortho Clinical Diagnostics. In 2021, there were two different diagnostics M&A deals valued in the tens of billions of dollars—Thermo Fisher Scientific’s $17.4 billion acquisition of PPD, Inc., and Siemens Healthineers’ purchase of Varian Medical Systems …
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CMS Proposes CLIA Fee Increases and Nurses Doing High …
WebOn July 22, the Centers for Medicare & Medicaid Services (CMS) published a new proposed rule (CMS-3326-P) that would implement key changes to the Clinical Laboratory Improvement Amendments of 1988 (CLIA) fees regulations. In addition to increasing and imposing new CLIA lab user fees, the proposed rule would allow …
Thermo Fisher, Siemens Healthineers and DiaSorin Headline a …
WebG2 empowers managers, professionals, and leaders of clinical labs, including hospital, freestanding, physician office, and pathology labs, to comply with legal requirements and maximize reimbursement, operational effectiveness, clinical quality, and …
How to Manage Liability Risks for Pass-Through Billing …
WebThere are a number of things your lab can do to ensure compliance and manage risks of liability for improper pass-through billing arrangements: Only bill for referred tests when the provider actually orders the test from the referring lab; If you’re the referring lab, only bill for tests that you have CLIA certification to perform;
Biodiagnostic Laboratory Services LLC Pleads Guilty
WebG2 empowers managers, professionals, and leaders of clinical labs, including hospital, freestanding, physician office, and pathology labs, to comply with legal requirements and maximize reimbursement, operational effectiveness, clinical quality, and …
Getting Medicare Reimbursement for Telehealth Lab
WebG2 empowers managers, professionals, and leaders of clinical labs, including hospital, freestanding, physician office, and pathology labs, to comply with legal requirements and maximize reimbursement, operational effectiveness, clinical quality, and …
Adapting to the New Normal: Navigating the Intersection of …
WebSession: Wednesday, June 14, 11:00 AM – 12:00 PM With healthcare and diagnostics being reshaped by a number of key macro trends, laboratories face both challenges and opportunities. Rising consumerism, growth in AI and machine learning, COVID-shaped staffing shortages, shifts in patient behavior, and ongoing regulatory and reimbursement …
UnitedHealthcare Expands Coverage of Genetic Cancer Tests
WebOn Feb. 9, UnitedHealthcare (UHC), the largest private health plan in the US, issued a new policy expanding coverage of molecular genetic tests for personalized cancer diagnosis, prognosis, and treatment. The new Medical Policy, which officially takes effect on April 1, covers all UHC Commercial benefit plans, as well as UHC Individual …
Recent FDA Approvals Show Growing Complexity of At-Home Tests
WebThe U.S. Food and Drug Administration (FDA) has granted its first ever De Novo approval for an at-home test for gonorrhea and chlamydia. Experts say the approval signals that such assays, which have always been fairly simple, are likely to become more complex in the coming years.
Rutgers Cancer Institute Teams with Meridian Health for 'Precision
WebG2 empowers managers, professionals, and leaders of clinical labs, including hospital, freestanding, physician office, and pathology labs, to comply with legal requirements and maximize reimbursement, operational effectiveness, clinical quality, and …
Labs In Court: A roundup of recent cases and enforcement actions
WebG2 empowers managers, professionals, and leaders of clinical labs, including hospital, freestanding, physician office, and pathology labs, to comply with legal requirements and maximize reimbursement, operational effectiveness, clinical quality, and …
Billing & Coding of Infectious Pathogen Testing
WebAs PCR testing has become more routine, the American Medical Association (AMA) has developed specific procedural codes for billing these tests (CPT 87468 – 87801). Current Procedural Terminology (CPT) provides instructions for the codes in the molecular microbiology section. Key points: 1.
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