Nov 29, 2017 | Coding, Billing, and Collections, Compliance, Legal, and Malpractice, Laboratory Management and Operations, Laboratory News, Laboratory Operations, Laboratory Pathology, Laboratory Sales and Marketing, Laboratory Testing, Management & Operations
Medical laboratories today struggle to submit clean claims and be promptly and adequately reimbursed as health insurers institute burdensome requirements and audit more labs Across the nation, clinical laboratories and anatomic pathology groups of all sizes struggle to get payment for lab test claims. Veteran lab executives say they cannot remember any time in the past when medical laboratories were challenged on the front-end with getting lab test claims paid while also dealing on the...
Jul 14, 2011 | Coding, Billing, and Collections, Compliance, Legal, and Malpractice, Laboratory News, Laboratory Pathology, News From Dark Daily
2011 is the year that Medicare expands its Recovery Audit Program to include providers such as medical laboratories and pathology groups During the next 12 months, many pathology groups and clinical laboratories will undergo their first audit as part of Medicare’s recently-expanded RAC (Recovery Audit Contractor) program. This is a big-dollar audit program. When Congress passed the enabling legislation, it was estimated that RAC would generate $10 billion in recoveries from hospitals,...
Dec 8, 2010 | Laboratory News, Laboratory Pathology
Contractors can now conduct “medical necessity” audits at your medical laboratory Clinical laboratories and anatomic pathology groups will have new legal responsibilities to perform as of December 31, 2010. That’s when the Medicare Recovery Audit Contractor (RAC) program expands to include Medicare Part C, Part D, and all 50 state Medicaid programs. The expanded RAC program gives independent auditors the power to conduct “medical necessity” audits at your hospital, health system, clinical...
