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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.
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.
HRSA Uninsured Program no longer accepting claims for COVID testing, vaccine administration
The HRSA Uninsured Program said claims for COVID testing and treatment will stop being accepted on March 22 at 11:59 p.m.
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.
Case Study: Biller’s Contract Breach Results in Client Settlement
When a client went uncompensated for months of work due to a biller’s breach of contract, we were able to fight on their behalf to recover a $25,000 settlement.
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.
New codes created for monoclonal antibody bebtelovimab following FDA EUA
On Feb. 11, the FDA authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of COVID-19 in adult and pediatric patients.
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.
Early 2020 MIPS data again reveals declining participation
Early 2020 Merit-based Incentive Payment data released this week by CMS shows pandemic reporting flexibility is likely to keep the penalty pool small.
COVID-19 PHE receives another 90-day extension
The Covid-19 Public Health Emergency has been extended for an additional 90 days after HHS Secretary Xavier Becerra signed off on the extension late last week.
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
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.
Medicare cuts, PAMA reporting suspended until 2023 under new legislation
Congress has acted to suspend scheduled Medicare cuts in order to provide financial relief to hospitals and providers amid the COVID-19 Public Health Emergency.
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.
That’s right. For free.