Fool me once, shame on you; fool me twice, shame on me. That may have been your reaction when you first heard about the new CMS Request for Information (RFI) seeking input on ways to alleviate the … [Read more...]
COMPLIANCE
Brief Your CEO: Medicaid Enforcement Trends & Their Impact on Labs
May 28, 2018
While they do not have to embroil themselves in the day-to-day compliance program details, the C-Suiters do need to be on top of general health care enforcement trends affecting your lab. OIG reports … [Read more...]
LEGISLATION
Brief Your CEO: New Penalties Double the Dollar Value of Protecting Your Lab from Liability
April 23, 2018
You may not realize this, but Congress has just doubled the dollar value of what you do as a compliance manager to keep your lab out of federal health care fraud hot water. How? By significantly … [Read more...]
CLAIMS APPEALS
Brief Your CEO: The New CMS Appeals Process & How to Use It to Get Medicare to Pay
March 20, 2018
While Part B lab reimbursements may be going down, the good news is that it just became easier to challenge Medicare payment denials. On Feb. 5, 2018, CMS launched a new Low Volume Appeals settlement … [Read more...]
ACCREDITATION
Brief Your CEO: After 36 Years, CLIA Comes Under CMS Review
January 22, 2018
Brace yourself—and your C-suite—for more sweeping legal changes. Even as your lab makes the transition to the new, supposedly market-based PAMA Medicare Part B fee schedule for tests, big changes may … [Read more...]
ENFORCEMENT
Brief Your CEO: 5 Takeaways from OIG’s New Semiannual Report
January 3, 2018
Like many lab managers, you may provide a year-end compliance briefing to your executive team. If so, you will want to cover the new OIG Semiannual Report to Congress in which the agency explains what … [Read more...]
REIMBURSEMENT
Brief Your CEO: The 4 Key Takeaways from the OIG 2016 Part B Lab Payments Report
October 24, 2017
As PAMA payment system D-Day creeps closer, the OIG issued its report on 2016 Medicare lab payments. Spoiler Alert: It was more of the same in 2016. Part B payments for lab tests over the past three … [Read more...]
MACRA
Brief Your CEO: Let the C-Suite Know About the Key MACRA Changes on the Table
September 18, 2017
Ordering physicians aren't just your clients but your business lifeline. So when major changes to physician reimbursements are in the works, you need to be on top of them. And when it comes to … [Read more...]
BRIEF YOUR CEO
Help Your Lab Brace for Key Medicare Outpatient Reimbursement Changes
August 7, 2017
With the 2018 Clinical Laboratory Fee Schedule (CLFS) still in the works, CMS proposed changes to the Hospital Outpatient Prospective Payment System (HOPPS) rules on July 13. There are three items … [Read more...]
NEWS
Brief Your CEO: Explaining How Trump Budget Will Affect Your Lab
May 15, 2017
As lab manager, you may want to ensure your CEO understands how President Trump's 2018 budget proposal may affect your laboratory. Here are four things to cover in your briefing. What the Budget … [Read more...]
