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20 Years of Vachette

As Vachette Pathology celebrates its 20th anniversary, founder Mick Raich looks back on what he's learned during that time.

Vachette building front

Pathology Job Market Struggling to Meet Increasing Demand

"Gone may be the days where one person who was more broadly trained could effectively advise whole laboratories comprehensively on what patients need and how to go about arranging that as an in-house offering," says Tara Luellen, Vice President of Lab Director Services.

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Timeline for repayment of Medicare Advances, recoupment rate

Impacted providers should expect to see 25% of their total Medicare payments to be recouped during the first 11 months of the repayment period. If repayment has not been completed within that timeframe, the recoupment rate will increase to 50% for 6 months.

Image by Jan Vašek from Pixabay

Artificial Intelligence: Payers vs Medical Billers Round One

There are some interesting changes in the medical billing world surrounding artificial intelligence (AI). There is an AI war going on with payers and billers in the revenue cycle management (RCM) arena and the winner will be the one who invests in AI quickest and maintains their edge in technology. We are just beginning to see this technology utilized, but several firms are already in the game. 

AI influencing the battle between payers and medical billers

CAP asks UHC to forgo Designated Diagnostic Provider program

The College of American Pathologists (CAP) has joined six other provider advocacy groups in formally requesting UnitedHealthcare (UHC) forgo its Designated Diagnostic Provider (DDP) program that was launched last summer in an attempt to further tighten the payer's network and direct patients to preferred laboratories.

Initial steps for complying with the No Suprises Act

went into effect Jan. 1, 2022, the law is still facing a number of legal challenges from provider groups unhappy with the payment dispute resolution process, to say nothing surrounding the uncertainty of its implementation

No Surprises Act

Will insurers pay for at-home COVID testing?

The concept is simple: you get an at-home COVID test, pay for it, take the test, and then send in the cost to your insurance plan for reimbursement. This is exactly what healthcare used to be. 

Covid variant testing

Cigna clarifies new PC/CP policy in letter to CAP

Pathologists providing the professional component of clinical pathology (PC of CP) services now have additional clarity on how to request reimbursement under Cigna's new PC of CP policy after the insurer recently provided more details on the policy in a letter to the College of American Pathologists (CAP).

Automatic 2021 MIPS exemptions granted by CMS

Earlier this month, CMS announced individual clinicians required to report Merit-based Incentive Payment System data in the 2021 performance year will be granted an automatic exemption due to the ongoing COVID-19 Public Health Emergency (PHE).

Who's reviewing revenue strategy with you at this time?

Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule/Charge Master at no cost.

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