News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel

News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel
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HIE Use Rises along with Adoption of EHRs, but Full Interoperability Remains Elusive for Hospitals, Physicians, Clinical Labs, and Pathology Groups

The majority of the nation’s hospitals and physicians now use electronic health records and most of these EHR users are already exchanging clinical data with regional HIEs

Pathologists tracking the adoption of EHR systems by hospitals and physicians will be interested to learn that, according to the federal government, more than 80% of hospitals and 50% of physicians now use these products. It is also reported that growing numbers of providers are exchanging data with health information exchanges.

Clinical laboratories and anatomic pathology groups have a big stake in these developments. Medical laboratory test data is an essential component to every patient’s permanent health record, which is why it is important for every lab to have interfaces with the HIEs serving their communities and regions.
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Many Physicians Deciding not to Proceed with EHR Adoption in a Development that Could Affect Clinical Laboratories Offering LIS-to-EHR Interfaces to Doctors

One problem for physicians is that many EHR products that earned Meaningful Use Stage 1 certification have not gained Stage 2 certification

Growing numbers of physicians are deciding that continuing in the federal government’s electronic health records (EHRs) incentive program is not a winning proposition. This is not an auspicious development for the nation’s clinical laboratories and anatomic pathology groups.

After all, every medical laboratory in the United States is spending time and money to interface their laboratory information systems with physician clients’ EHR systems to enable electronic lab test ordering and reporting. Thus, if substantial numbers of physicians decide to opt out the federal EHR incentive program, this will create a variety of problems for clinical laboratories providing lab-testing services to these physicians. (more…)

HHS Office of the Inspector General Survey Reveals That Most Hospitals Ignore or Manipulate EHR Fraud Safeguards

Although most clinical laboratories and pathology groups do not use EHR systems, the OIG’s finding should alert them to possible problems with audit integrity of their clients’ EHRs

Electronic Health Record (EHR) systems were supposed to prevent fraud, but a recent report from one federal agency states that the fraud safeguards built into EHR systems are not in engaged by a majority of users.

Pathologists and clinical laboratory managers with the responsibility to maintain security of software systems used in their medical laboratories may be interested to read “Not All Recommended Fraud Safeguards Have Been Implemented in Hospital EHR Technology,” a report issued by the Health and Human Services’  (HHS) Office of the Inspector General (OIG). (more…)

Providers, Payers and CMS Gear Up for ICD-10 Implementation, but Will They Be Prepared for Launch by October 1, 2014?

Pathologists and medical laboratory managers have only nine months to prepare their labs for ICD-10 implementation

Most clinical laboratory managers and pathologists know that October 1, 2014, is the date for implementation of ICD-10. After that date, each Medicare claim submitted by a medical laboratory must include the ICD-10 code provided by the referring physician.

This is a unique reason why clinical laboratories and pathology groups have keen interest in a smooth transition from ICD-9 to ICD-10. Medicare will reject clinical laboratory test claims that either don’t have an ICD-10 code or have an incorrect ICD-10 code. Thus, labs hope that their client physicians make a smooth transition from ICD-9 to ICD-10. (more…)

Recognizing Inconsistency in EHR Lab Test Orders, Vendors Introduce Software to Improve Clinical Pathology Laboratory Test Ordering and Results Reporting

To solve this problem, clinical laboratories can contract with best in class vendors that will put screens on orders and results that filter out inconsistencies

In recent weeks the Department of Health and Human Services announced that more than 50% of doctors and 80% of eligible hospitals would be using electronic health record (EHR) systems by the end of 2013. Although federal officials are celebrating this accomplishment, for the clinical laboratory testing industry, EHR adoption, at best, has been problematic and, at worst, is a financial burden.

Despite increased connectivity, clinical laboratories have had create interfaces between their laboratory information systems (LISs) and the EHRs of their client physicians and hospitals. The federal officials who designed the financial incentives foster meaningful use among all clinicians for EHR adoption, but have not reimbursed labs for the substantial time and expense needed to establish these interfaces. (more…)

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