HEDIS Data Provides Evidence that Physicians Are More Effective in Using Clinical Pathology Laboratory Tests Improve Patient Care

NCQA published annual report showing increased rates of screening for most of its HEDIS quality measures and medical laboratory testing often plays a role in these screening activities For almost a decade now, clinical laboratories and pathology groups have been asked by many private payers to provide laboratory test data for a number of clinical services. In turn, these private health insurers annually submit this data to the Healthcare Effectiveness Data and Information Set (HEDIS) program...

Medicare Considers Denying Payment for Routine Vitamin D Testing

One Medicare contractor is proposing a new policy that would effectively end payment to labs and physicians for routine testing for Vitamin D deficiency. In its proposed local coverage determination (LCD), the Medicare carrier indicates that it would cover Vitamin D testing only for patients with chronic kidney disease, osteomalacia, hypercalcemia, and rickets. The LCD states that other testing for Vitamin D would be denied. The draft (or proposed) LCD is dated February 6 and was posted on the...
;