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Reimbursement

Five tips to cut lab inefficiencies, not lab revenue

While there are always ongoing changes within the healthcare industry, the combined challenges that today’s laboratories face are momentous. The transition to value-based care...
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Reimbursement

HHS allocates $4.8 billion to COVID-19 testing of people without insurance

May 26, 2021
The Health Resources and Services Administration (HRSA) allocated $4.8 billion to reimburse healthcare providers for testing people without health insurance for COVID-19, according...
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Reimbursement

CMS expands coverage for breast cancer test

May 12, 2021
Hologic announced that its subsidiary, Biotheranostics, has received broader Medicare coverage for its Breast Cancer Index test under an expanded Medicare Local Coverage Determination...
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Reimbursement

$478 million per year spend on “D” rated services

May 3, 2021
A UCLA-led study shows that physicians frequently order preventive medical services for adult Medicare beneficiaries that are considered unnecessary and of "low value" by the ...
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Automating the steps in the revenue cycle process helps produce clean claims and fewer denials.
Reimbursement

Automating denials management for lab reimbursement

April 21, 2021
The rate of claims denials at health systems and laboratories has been increasing, which means that managing denials is becoming an important part of an organization’s revenue...
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Reimbursement

More people buying insurance through electronic marketplace

April 8, 2021
More than 528,000 Americans signed up for health insurance through the electronic insurance exchange HealthCare.gov since the start of the 2021 special enrollment period, according...
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Reimbursement

CDC plans to provide $332 million for services from community health workers

March 26, 2021
The Centers for Disease Control and Prevention (CDC) plans to provide $300 million to jurisdictions for services from community health workers (CHWs) to support prevention and...
Reimbursement

CMS issues final guidelines on covering tests for colorectal cancer screening

Jan. 21, 2021
The Centers for Medicare & Medicaid Services (CMS) finalized guidelines outlining when it will cover blood-based biomarkers tests for colorectal cancer screening, but it did not...
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Reimbursement

CDC distributes funding to support COVID-19 vaccination and testing

Jan. 8, 2021
The Centers for Disease Control and Prevention (CDC) will provide more than $22 billion in funding to states, localities and territories to support COVID-19 testing and vaccination...
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Reimbursement

Optum acquires Change Healthcare

Jan. 7, 2021
Optum, a health services company and part of UnitedHealth Group, announced that it plans to acquire Change Healthcare, a healthcare data analytics company, according to a press...
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Reimbursement

The impact of connectivity on a lab’s bottom line

Dec. 22, 2020
Among the lessons learned throughout the past transformative year in healthcare, a crucial one is that laboratories must get out of manual processes and go digital. Timelines ...