Medicare Officials Raise Issue of Fraud as Greater Use of Electronic Health Records Increases the Number of Claims Upcoded to More Complex CPT Codes

Issue does not directly affect clinical laboratories and pathology groups, but puts spotlight on some hospitals and physicians who frequently use these codes. Could increased use of electronic health records (EHR) systems be causing more hospitals and physicians to commit fraud because of upcoding? That’s the assertion of certain federal health officials. They attribute the increased proportion of Medicare claims for more complex and more expensive services by some providers to be, in some...

Experts Predict Shortage of Clinical Laboratory Labor Will Create Need for More Sophisticated Laboratory Information Systems

Recent reports show why labs need more robust laboratory information systems (LIS), including a shrinking workforce, new requirements to connect to EMRs in hospitals and physicians’ offices, and the development of health information exchanges. Clinical laboratories nationwide are realizing they need new and more powerful laboratory information systems (LIS) as they seek to process larger volumes of medical laboratory tests with a shrinking number of medical technologists and clinical...

Why HIEs and RHIOs Will Change the Flow of Laboratory Test Data

In a growing number of cities around the United States, efforts are under way to organize a regional health information repository. Such a development has implications to change the long-standing relationships laboratories have with physicians, hospitals, patients, and payers. Two acronyms are used to describe these regional informatics projects. One is RHIO, which stands for Regional Health Information Network. The other is HIE, which stands for Healthcare Information Exchange. Because of the...

What’s Up with RHIOs and HIEs in the USA!

Because lab data represents the majority of information in a patient medical record, it is important for every laboratory to stay informed about efforts to pool clinical information and create regional repositories for health data. To help laboratory directors and pathologists stay up with the latest developments in RHIOS and HIEs, DARK Daily did some research. One good source was the American Health Information and Management Association (AHIMA). It released a report in September detailing...