The End of the Pathology Grandfather: Strategies for Negotiating TC Payments with Hospitals
Thursday, May 31, 2012
2:00 p.m. - 3:30 p.m. ET
With the June 30 expiration of the technical component grandfather protection, laboratories that provide pathology services to hospitals will now have to negotiate to receive payment directly from the hospitals.
The grandfather protection, which had been in place since 1999, allowed certain labs to bill Medicare directly for the technical component (TC) of pathology services provided to hospital inpatients and outpatients. While Congress in the past has extended the protection year after year, lawmakers this year extended it until only June 30. Effective July 1, labs will no longer be able to bill Medicare for pathology services provided to hospitals.
For inpatient services, no additional payment will be received by the hospital because the TC is considered to be included in the DRG payment. For outpatient services, the TC will be billed separately and paid under the outpatient prospective payment system. In either case, most labs are likely to take a significant cut in payment they receive for the pathology TC.
With this in mind, join G2 Intelligence online May 31 to learn how to negotiate the best deal for your lab.
You’ll also learn how to negotiate effectively to ensure you receive fair payment from the hospitals with which you contract.
In just 90 minutes you will:
- Understand why labs will have to negotiate the pathology TC with hospitals effective July 1
- Learn how to determine what your actual costs are and how much over cost you can reasonably expect to bill hospitals
- Understand how to handle billing for services provided to inpatients versus services provided to outpatients
- Find out strategies for negotiating the TC payment with hospitals to ensure you receive fair and adequate payment for services you provide
Continuing education credit is available. For more information, please call 800-531-1026.
Jane Pine Wood
Member, McDonald Hopkins LLC
CEO, Puget Sound Institute of Pathology
HOST & MODERATOR:
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