Latest News

Cigna again moves to end PC clinical pathology payments

After holding off on the move during the summer amid significant pushback from pathology and lab advocates, Cigna appears to again be moving forward with its plan to end reimbursement for the professional component of clinical pathology (PC/CP) beginning Nov. 1, 2021.

Covid Billing

First Provider Relief Fund spending reports due Sept. 30

Health care providers who received distributions from the Health and Human Services Provider Relief Fund between April 1 and June 30, 2020, must submit their first report on use of those funds by Sept. 30, 2021.

Image by Jan Vašek from Pixabay

As more labs perform Covid variant testing, will payors reimburse?

“This is not the same Covid as last year and there are treatment implications with each variant,” says Dr. William Budd. “The severity of the strain of Covid can vary. It is medically significant to know if your patient has an aggressive variant vs. a less aggressive variant.

Covid variant testing

As Covid re-emerges, it’s déjà vu all over again

In a recent conversation with one of our southern pathology groups, we are realizing it is May of 2020 again. Their hospital has shut down elective surgeries, they have very little surgical volume (about 15% of the norm) and things do not look good as they have 200 Covid-positive inpatients. In short, it’s back. 

CMS to pay $40 for booster dose of Covid-19 vaccine

Last week, CMS announced Medicare will pay $40 for administering a booster dose of the Pfizer or Moderna Covid-19 vaccine to certain immunocompromised individuals, in accordance with the new FDA Emergency Use Authorization (EUA).

A new managed care strategy for pathologists

The time has come for a new mindset. No longer should pathology contracts be tied to a draconian Medicare fee schedule hurtling towards the lowest payment possible.

Medi-Cal rate methodology boosted under new law

California pathologists who have grown frustrated with retroactive recoupments from Medi-Cal in recent years due to their outdated rate-setting methodology now have some relief after California Gov. Gavin Newsom signed a comprehensive health care budget bill (AB 133) on July 27.

Final 2020 MIPS scores now available for review

oviders who participated in the 2020 MIPS Performance Period may now view their final scores. Participants also now have the option to request a targeted review if they believe any errors were made in calculating their bonus or penalty for the 2022 payment year.

Opinion: Is healthcare set to face a pandemic bubble?

In 2020 and early 2021, more than $4 trillion was pumped directly into society, including funding for healthcare providers and facilities. While most Americans spent last year wondering if the world was collapsing, healthcare had one of its best years ever.

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