by lighthouselab | Oct 5, 2021 | Clinical Laboratory, Industry Insights, RCM Consulting
By: Mick Raich, President, RCM Consulting, Lighthouse Lab Services / Vachette Pathology We have all heard about the recent Biden vaccine mandate for companies with more than 100 employees. Like most government changes, this will cause some issues going forward. In...
by Alex Mitchell | Aug 11, 2021 | Clinical Laboratory, Industry Insights, RCM Consulting
Originally put into effect in 2017, the Protecting Access to Medicare Act (PAMA) requires many labs to report private payer data for clinical diagnostic lab tests to CMS every three years. The data is used to determine median payments in an effort to bring the...
by Alex Mitchell | Jul 20, 2021 | Clinical Laboratory, Industry Insights, RCM Consulting
While the legal intent of the Eliminating Kickbacks in Recovery Act (EKRA) overlaps in several areas with existing Anti-Kickback Statute (AKS), EKRA is separate offense with some substantial distinctions that serve to make the law more stringent for laboratories than...
by Alex Mitchell | Jul 15, 2021 | Clinical Laboratory, Industry Insights, RCM Consulting
Although the Eliminating Kickbacks in Recovery Act (EKRA) was first put into effect in 2018, there has been significant uncertainty concerning how the beefed-up anti-kickback rule will be applied as the Covid-19 Public Health Emergency winds down. With the DOJ now...
by lighthouselab | Jun 22, 2021 | Clinical Laboratory, Industry Insights, RCM Consulting
How antibody testing can bolster your lab’s revenue stream With Covid-19 diagnostic testing numbers declining throughout the country as vaccines proliferate, and the Center for Disease Control recommending vaccinated individuals skip testing, now is a good time for...
by lighthouselab | Apr 26, 2021 | Clinical Laboratory, Industry Insights, RCM Consulting
Labs planning to perform regular surveillance testing should understand that commercial payors and CMS are not necessarily required to cover it. While the recent Feb. 26 Executive Order from President Biden stipulated all COVID-19 tests performed for individual...